| Regimental number | 2010 |
| Place of birth | Rotherham England |
| Religion | Church of England |
| Occupation | Traveller |
| Address | 400 Montague Street, Albert Park, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Susan Radcliffe, Avondale House, 127 Victoria Parade, East Melbourne, Victoria |
| Enlistment date | 19 February 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 10 June 1919 |
