| Regimental number | 16002 |
| Place of birth | Nottingham Shire England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Queenstown, Tasmania |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A Jukes, Brixton, London, England |
| Enlistment date | 27 April 1916 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 26 July 1919 |