| Regimental number | 1064 |
| Place of birth | Edmonton England |
| Religion | Church of England |
| Occupation | Bookbinder |
| Address | 6 Beaconsfield Terrace, New Parkside, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Fanny Bates, 6 Beaconsfield Terrace, New Parkside, South Australia |
| Enlistment date | 26 April 1915 |
| Date of enlistment from Nominal Roll | 30 April 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, A Company |
| AWM Embarkation Roll number | 23/44/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 31 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 15 February 1918 |
