| Regimental number | 4516 |
| Place of birth | Bunbury Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Susan Pickersgill, Beach Road, South Bunbury, Western Australia |
| Enlistment date | 29 February 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 27 July 1917 |