| Regimental number | 3578 |
| Place of birth | Lancashire England |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Station Street, Mortdale, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Annie Jevons, Station Street, Mortdale, New South Wales |
| Enlistment date | 23 February 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 5 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |
