| Regimental number | 87 |
| Place of birth | Harlech Wales |
| Religion | Baptist |
| Occupation | Farm labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mary Owen, South View Dinas Terrace, Aberystwyth, Wales |
| Enlistment date | 10 September 1914 |
| Date of enlistment from Nominal Roll | 17 August 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, A Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 31 October 1914 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 15 February 1918 |