| Regimental number | 2621 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Provision merchant |
| Address | Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Jean Beacham, Connolly Street, Rockhampton, Queensland |
| Enlistment date | 6 July 1916 |
| Place of enlistment | Rockhampton, Queensland |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 1 February 1918 |
