| Regimental number | 9227 |
| Place of birth | Essex England |
| Religion | Church of England |
| Occupation | Sailor |
| Address | Little Clacton, Essex, England |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Daughter, Violet Beales, Little Clacton, Essex, England |
| Enlistment date | 7 October 1915 |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 17 August 1916 |
