| Regimental number | 31645 |
| Place of birth | Oldham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sayer Street, Midland Junction, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs H L Kermode, Sayer Street, Midland Junction, Western Australia |
| Enlistment date | 11 June 1916 |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 24, Reinforcement 9 |
| AWM Embarkation Roll number | 13/134/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 23 December 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia 19 April 1919 |
