| Regimental number | 1982 |
| Place of birth | Kidderminster England |
| Religion | Methodist |
| Occupation | Signalman |
| Address | Granville, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Father, C North, Alfred Street, Granville, New South Wales |
| Enlistment date | 9 February 1917 |
| Rank on enlistment | Private |
| Unit name | Railway Unit, Section 5 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 16th Australian Railway Operating Company |
| Fate | Returned to Australia 6 September 1917 |