| Regimental number | 2221 |
| Place of birth | Merryweather New South Wales |
| Religion | Church of England |
| Occupation | Coal miner |
| Address | c/o Mrs Sarah Jane Jones, Wittenoom Street, Collie, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Grandparent, Mrs Sarah Jane Jones, Wittenoom Street, Collie, Western Australia |
| Enlistment date | 3 April 1916 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 9 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Effective abroad (still overseas) |