| Regimental number | 5218 |
| Place of birth | Durham England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 179 Albany Road, Petersham, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs. C.A. Lazenby, C/ Mrs. Parker, 62 Margaret Street, Petersham, New South Wales |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Field Butchery |
| Fate | Returned to Australia 21 December 1918 |