| Regimental number | 3963 |
| Place of birth | Thorntondale England |
| Religion | Church of England |
| Occupation | Loco cleaner |
| Address | Broadway, Junee, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S Turner, 16 Northcote Street Lady Pitt Lane, Leeds, England |
| Enlistment date | 14 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 12 November 1916 |