| Regimental number | 5292 |
| Place of birth | Exeter England |
| Religion | Church of England |
| Occupation | Fireman and engine driver |
| Address | Dartbrook Road, Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Victoria Pennell, Dartbrook Road, Auburn, New South Wales |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Regimental number from Nominal Roll | 5392 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 19 October 1917 |
