| Regimental number | 28069 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Compositor |
| Address | 'Tawaki', Eltham Street, Gladesville, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs E Kelly, 'Moss Side', Winchester Road, Little Coogee, Waverley, New South Wales |
| Enlistment date | 4 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 2, Reinforcement 10 |
| AWM Embarkation Roll number | 25/90/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Trench Mortar Battery |
| Fate | Returned to Australia 15 May 1919 |
