| Regimental number | 409 |
| Religion | Church of England |
| Occupation | Turners improver |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Elizabeth Jones, Bermondsey Street, Leederville, Western Australia |
| Enlistment date | 23 August 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |