| Regimental number | 15038 |
| Place of birth | Bradford England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | c/o Bayswater Hotel, Bayswater, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs J Blackburn, Robinson Street, Bayswater, Western Australia |
| Enlistment date | 17 January 1916 |
| Date of enlistment from Nominal Roll | 27 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 15, Reinforcement 2 |
| AWM Embarkation Roll number | 13/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 6 June 1919 |
