| Regimental number | 1290 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Gasfitter |
| Address | Bowden Villa, Sandgate, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Catherine Annie Bean, Bowden Villa, Sandgate, Queensland |
| Enlistment date | 8 January 1916 |
| Date of enlistment from Nominal Roll | 7 December 1915 |
| Rank on enlistment | Prov CPL |
| Unit name | 42nd Battalion, D Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 10 May 1919 |
