| Regimental number | 6870 |
| Place of birth | Staffordshire England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Caulfield, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Olive Powis, Manchester Grove, Caulfield, Victoria |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th MTS |
| Fate | Returned to Australia 12 May 1919 |