| Regimental number | 11491 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'Nortan', Charlecot Street, Dulwich Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs E Jones, Charlecot Street, Dulwich Hill, New South Wales |
| Enlistment date | 6 October 1915 |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Gunner |
| Unit name | 5th Field Artillery Brigade, Reinforcement 3 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 3 May 1917 |
