| Regimental number | 790 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Coal miner |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M E Pearson c/o Mrs M Le Bryon, Victoria, Mimico Ontario, Canada |
| Enlistment date | 21 September 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 21 July 1917 |
