| Regimental number | 642 |
| Place of birth | Glamorgan Wales |
| Religion | Baptist |
| Occupation | Miner |
| Address | Frongate Street, Granville, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss L Jones, Frongate Street, Granville, New South Wales |
| Enlistment date | 9 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 8, Reinforcement 11 |
| AWM Embarkation Roll number | 24/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 23 September 1919 |
