| Regimental number | 5436 |
| Place of birth | Swansea South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Scarborough, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, Mr Price, Hetty Maur Farm, Tonna, Nr Heath, Glamorganshire, South Wales |
| Enlistment date | 8 April 1916 |
| Date of enlistment from Nominal Roll | 3 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 1 November 1917 |
