| Regimental number | 9165 |
| Place of birth | Port Talbot Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 24 Market Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Friend, Miss Florence Jacobs, 'Surrey House', Trafalgar Street, Stanmor |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Rookwood Necropolis |