| Regimental number | 6765 |
| Place of birth | Birmingham England |
| Religion | Baptist |
| Occupation | Turner |
| Address | Pineleigh, Sans Souci, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E. James, Pineleigh, Northcote Street, Sans Souci, Sydney, New South Wales |
| Enlistment date | 4 September 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 8 July 1919 |
