| Regimental number | 4179 |
| Place of birth | Mansfield England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Parkes, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs C Beazley, Mitchell Street, Parkes, New South Wales |
| Enlistment date | 26 August 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 12 November 1916 |
| Date of death | 27 September 1969 |
| Place of burial | Parkes Cemetery |
