| Regimental number | 10122 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Raymond Street, Homeville, West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, R Beatty, Raymond Street, Homeville, West Maitland, New South Wales |
| Enlistment date | 2 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Reinforcement 2 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 8 August 1916 |
