| Regimental number | 209 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | 146 Lake Street, Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs E Mansfield, 146 Lake Street, Perth, Western Australia |
| Enlistment date | 26 August 1914 |
| Rank on enlistment | Driver |
| Unit name | 3rd Field Ambulance, C Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 2 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 28 April 1915 |
