| Regimental number | 628 |
| Place of birth | Pontypridd Wales |
| Religion | Church of England |
| Occupation | Stonemason |
| Address | Langtry Residential Club, West Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs J Noble, Pontypridd, South Wales, Great Britian |
| Enlistment date | 11 August 1914 |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force, G Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 August 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
