| Regimental number | 1790 |
| Religion | Church of England |
| Occupation | Shoe Machinist |
| Address | c/o Mrs Dickinson Mayville Epping Road, Double Bay, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs J Pearson, 90 Compton Crescent, Leeds, England |
| Enlistment date | 25 January 1915 |
| Date of enlistment from Nominal Roll | 15 January 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 19 June 1919 |