| Regimental number | 2125 |
| Place of birth | Yass New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 157 Royal Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Harriet Ann Myers, 183 Barker Road, Subiaco, Western Australia |
| Enlistment date | 10 April 1916 |
| Date of enlistment from Nominal Roll | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/61/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 10 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 3 March 1919 |
