| Regimental number | 1765 |
| Place of birth | Thatcham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | No pemanent address |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | None |
| Enlistment date | 16 June 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 28th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A64 Demosthenes on 23 July 1915 |
| Rank from Nominal Roll | Acting Corporal |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 10 June 1916 |
