| Regimental number | 7697 |
| Place of birth | Saltash England |
| Religion | Church of England |
| Occupation | Painter |
| Address | Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs E Bickford, 18 Rawson Street, Subiaco, Western Australia |
| Enlistment date | 16 April 1917 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 12 July 1919 |