
| Regimental number | 6369 |
| Place of birth | Tiverton England |
| Religion | Church of England |
| Occupation | Brickmaker |
| Address | Wagin, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Ethel Old, Wagin, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on |
| Regimental number from Nominal Roll | 6369A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |