| Regimental number | 604 |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Hannah Llewellyn, Primrose House, Gonseinon, Glamorganshire, Wales |
| Previous military service | Royal Australian Garrison Artillery |
| Enlistment date | 22 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Siege Artillery Brigade Reinforcement 4 |
| AWM Embarkation Roll number | 13/49/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Returned to Australia 3 May 1918 |
