| Regimental number | 3869 |
| Place of birth | Mortigallup Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Tenterden, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Father, W Mason, Tenterden via Cranbrook, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: |