| Regimental number | 3865 |
| Place of birth | Port Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs Cooper, Woolnough Road, Exeter, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E E Powning, c/o Mrs Cooper, Woolnough Road, Exeter, South Australia |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 3 March 1916 |
