| Regimental number | 2198 |
| Place of birth | Bromyard England |
| Religion | Church of England |
| Occupation | Window cleaner |
| Address | Park Street, Kelvin Grove, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Charlotte Elizabeth Lott, Park Street, Kelvin Grove, Brisbane, Queensland |
| Enlistment date | 22 March 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 31 October 1917 |