| 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 | 17 April 1916 |
| 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 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Discharged 13 December 1917 |
