| Regimental number | 25634 |
| Place of birth | Ipswich England |
| Religion | Methodist |
| Occupation | Miner |
| Address | Pacific Mansion, Lower Domain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, Mrs E Watters, Stroud Road, Stroud, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 4, Reinforcement 4 |
| AWM Embarkation Roll number | 25/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 29 July 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia 5 July 1919 |
