| Regimental number | 17579 |
| Place of birth | Durham England |
| Religion | Church of England |
| Occupation | Asylum attendant |
| Address | Pennant Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs R Lea, c/o Mrs Perry, Pennant Hills, New South Wales |
| Enlistment date | 26 April 1916 |
| Date of enlistment from Nominal Roll | 31 July 1917 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia 5 March 1919 |
