| Regimental number | 1847 |
| Place of birth | Penbroke Wales |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Blackboy Hill, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Catherine Ann John, Amberly House, Main Street, Pembroke, Wales |
| Enlistment date | 28 April 1916 |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/61/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 9 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Depots in the United Kingdom |
| Fate | Effective abroad (still overseas) |