| Regimental number | 9839 |
| Place of birth | Bath England |
| Religion | Church of England |
| Occupation | Loco-driver |
| Address | Forrest Street, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Emma Littleton, Forrest Street, Fremantle, Western Australia |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 16 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
