| Regimental number | 4578 |
| Place of birth | Bolton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Drummond Street, Carlton, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Mrs Waller, West Street, Crewe, England |
| Enlistment date | 6 October 1915 |
| Date of enlistment from Nominal Roll | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 21 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 4 June 1919 |