| Regimental number | 7430 |
| Place of birth | Prescott England |
| Religion | Church of England |
| Occupation | Wheelwright |
| Address | Camp Road, Pinjarrah, Western Australia |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Ivy Molyneux, Camp Road, Pinjarrah, Western Australia |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps Sanitary Section |
| AWM Embarkation Roll number | 26/72/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 6 December 1915 |
| Rank from Nominal Roll | Private |
