| Regimental number | 2404 |
| Religion | Church of England |
| Occupation | Faller |
| Address | Dwellingup, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Friend, John Lloyd, Dwellingup, Western Australia |
| Enlistment date | 2 August 1915 |
| Date of enlistment from Nominal Roll | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 22 February 1917 |
