| Regimental number | 4047 |
| Place of birth | Bristol England |
| Religion | Church of England |
| Occupation | House decorator |
| Address | 36A Burt Street, Boulder, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs Amy Florence Peters, Kings Head Hotel, Cheddar, Somerset, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 6 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette' No. 31089 (31 December 1918); 'Commonwealth Gazette' No. 61 (23 May 1919). |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |