| Regimental number | 2831 |
| Place of birth | Derby England |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Kootingal, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Fanny Lloyd, 65 Empress Road, Derby, England |
| Enlistment date | 7 November 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 7 February 1919 |
