| Regimental number | 11510 |
| Place of birth | Southampton England |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | 'Taunton', Underwood Street, Paddington, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs P B Mendes, c/o Mrs J J Gillett, 'Esmond', 7 Victoria Avenue, Woollahra, Sydney, New South Wales |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | 5th Field Artillery Brigade, Reinforcement 3 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 9 September 1916 |
