| Regimental number | 8786 |
| Place of birth | Exeter England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 59 Hanson Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs F Leach, Steventone, Upton Pyne, near Exeter, devonshire, England |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 14 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A69 Warilda on 10 February 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 8 April 1919 |