| Regimental number | 3731 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Barman |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M Norman, 237 Gold Hawk Road, Shepherds Bush London, England |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT RMS Malwa on 2 December 1915 |
| Regimental number from Nominal Roll | 3731A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 5 April 1919 |
