| Regimental number | 5347 |
| Place of birth | Gordon, South Australia |
| Religion | Methodist |
| Occupation | Railway porter |
| Address | Trafalgar, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Basley, 193 Eager Street, Trafalgar, Western Australia |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 13 December 1918 |
