| Regimental number | 690 |
| Place of birth | Ipswich England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Aloomba via Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs Agnes Ellen Southgate, Woolpit via Bury Street, Edmonds, Suffolk, England |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, C Company |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Infantry Brigade Headquarters |
| Fate | Returned to Australia 1 August 1919 |
