| Regimental number | 3090 |
| Place of birth | Bolton England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Miss M Nevelle, Warwick, Queensland |
| Enlistment date | 13 August 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Warilda on 5 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 5 January 1919 |