| Regimental number | 1480 |
| Place of birth | Jarrow England |
| Religion | Protestant |
| Occupation | Cleaner |
| Address | Percy Street, Prospect, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs M A Bedford, Percy Street, Prospect, South Australia |
| Enlistment date | 27 November 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 20 October 1915 |
