| Regimental number | 4529 |
| Place of birth | Yorkshire England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 13 Union Street, Petersham, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs. C.A. Mitchell, 3 Union Street, Petersham, New South Wales |
| Enlistment date | 30 September 1915 |
| Date of enlistment from Nominal Roll | 14 October 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st ACSalv Sect |
| Fate | Returned to Australia 31 January 1918 |
