| Regimental number | 5739 |
| Place of birth | Rotchdale England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | C/o Old Tree, Stores, Fairfield Road, Fairfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs F Naylor, C/o Old Trees Stores, Fairfield Road, Fairfield, New South Wales |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
