| Regimental number | 372 |
| Place of birth | Devon England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Martha Lane, Higher Listoke near Faunton, Somerset, England |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | Divisional Cyclist Company 5, Reinforcement 2 |
| AWM Embarkation Roll number | 12/5/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |