| Regimental number | 5703 |
| Place of birth | Lincolnshire England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Mary Ann Martin, 272 Harrowby Road, Grantham Lines, England |
| Enlistment date | 29 July 1916 |
| Date of enlistment from Nominal Roll | 29 July 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/42/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 7 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th D Sup C |
| Fate | Returned to Australia 7 June 1918 |