| Regimental number | 1910 |
| Place of birth | Monmouthshire, Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Argentine, Cockle Creek, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Sarah Ann Bateman, Cockle Creek, Boolaroo, New South Wales |
| Enlistment date | |
| Place of enlistment | Boolaroo, New South Wales |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
