| Regimental number | 5767 |
| Place of birth | Pembrokeshire Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 102 Buckingham Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M A James, 102 Buckingham Street, Sydney, New South Wales |
| Enlistment date | 14 February 1916 |
| Date of enlistment from Nominal Roll | 13 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 21 July 1917 |