| Regimental number | 1088 |
| Place of birth | Roebourne Western Australia |
| Occupation | ... |
| Address | c/o Trustee Coy, Perth, Western Australia |
| Marital status | ... |
| Age at embarkation | ... |
| Next of kin | ..., ... |
| Enlistment date | ... |
| Date of enlistment from Nominal Roll | 7 September 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, B Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 31 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 3 March 1916 |
