| Regimental number | 1410 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 24 |
| Height | 5' 6.75" |
| Weight | 154 lbs |
| Next of kin | Sister, John Ed Puplett Miss R Puplett, Midland Mil Hospital, Bauscroft Road London, England |
| Enlistment date | 19 October 1914 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/31/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Regimental number from Nominal Roll | 1501 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 5 March 1919 |