| Regimental number | 3976 |
| Place of birth | Holyhead Wales |
| Religion | Church of England |
| Occupation | Seaman and coal lumper |
| Address | 48 High Street, Miller's Point, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, V A Jones, 48 High Street, Miller's Point, Sydney, New South Wales |
| Enlistment date | 1 November 1915 |
| Date of enlistment from Nominal Roll | 21 October 1915 |
| Rank on enlistment | Acting Sergeant |
| Unit name | 19th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Acting Sergeant |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 4 May 1917 |