| Regimental number | 4135 |
| Place of birth | Nottingham, England |
| Religion | Church of England |
| Occupation | Fruit hand |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs B Bates, The Elms, Epperdton Nottingham, England |
| Enlistment date | |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |