| Regimental number | 5752 |
| Place of birth | Marin South Australia |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Onslow, North West, Western Australia |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Mary Ann Mole, Central Hotel, Kalgoorlie, Western Australia |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 11 January 1918 |