| Regimental number | 480 |
| Place of birth | Whalley England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Splitters Creek, North Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Thomas Harry Proctor, Splitters Creek, North Bundaberg, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, C Company |
| AWM Embarkation Roll number | 23/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 62 Date: |