| Regimental number | 3764 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Shoemaker |
| Address | Cecilia, Arthur Street, Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Nora Beckwith, 9 Tree Road, Custom House, London, England |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Regimental number from Nominal Roll | 3764a |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Convalescent Depot |
| Fate | Returned to Australia 20 December 1918 |
