| Regimental number | 3400 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 27 Thomas Street, South Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W Law, 27 Thomas Street, South Fremantle, Western Australia |
| Enlistment date | 26 July 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 2 November 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia 5 April 1918 |
