| Regimental number | 4384 |
| Place of birth | Stafford England |
| Religion | Methodist |
| Occupation | Weighman |
| Address | Parker Street, Helensburg, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Lily Agnes Myatt, 32 Crystal Street, Petersham, Sydney, New South Wales |
| Enlistment date | 18 June 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 24 August 1918 |
