| Regimental number | 6107 |
| Place of birth | Burnley England |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Middle Swan, Western Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs A Ormerod, Ormerod Terrace, Burnley, England |
| Enlistment date | 13 September 1915 |
| Date of enlistment from Nominal Roll | 30 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 12 |
| AWM Embarkation Roll number | 13/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 9 November 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 21 June 1919 |