| Regimental number | 221 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Perth GPO, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs F Lotan, 85 Hurst Road, Redford, England |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Driver |
| Unit name | 3rd Field Company Engineers, Section 3 |
| AWM Embarkation Roll number | 14/22/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on 2 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Motor Transport Section |
| Fate | Returned to Australia 8 October 1918 |
