| Regimental number | 2680 |
| Place of birth | King's Lynn, England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 123 Murray Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Height | 5' 8.5" |
| Weight | 138 lbs |
| Next of kin | Mother, Mrs Ellen Bassham, Hunstanton, Norfolk, England |
| Enlistment date | |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Corporal |
| Unit name | Depot Unit of Supply 2, Army Service Corps 11 |
| AWM Embarkation Roll number | 25/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Recommendations (Medals and Awards) |
MilitaryMedal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 23 Date: |
| Discharge date | |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |