| Regimental number | 1471 |
| Place of birth | Manchester England |
| Religion | Protestant |
| Occupation | Plasterer |
| Address | c/o T J Allen, Morgan Street, West Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mrs E Medley, Old Trafford, Manchester, England |
| Enlistment date | 28 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 11 March 1916 |
