| Regimental number | 6558 |
| Place of birth | Isle Of Man England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Federal Hotel, Temora, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Quilliam, 9 Victoria Road, Douglas, Isle of Man, Great Britain |
| Enlistment date | 27 April 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Effective abroad (still overseas) |
