| Regimental number | 6041 |
| Place of birth | Sheffield England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Pinjarrah, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 5th Division Headquarters |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
