| Regimental number | 1147 |
| Place of birth | Ironbridge England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | J |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Brother, J Jacques, 16 Auberey Road, Porth, Glamorganshire, South Wales, England |
| Enlistment date | 20 October 1914 |
| Rank on enlistment | Sergeant |
| Unit name | 1st Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |