| Regimental number | 4216 |
| Place of birth | Rawtonstall England |
| Religion | Church of England |
| Occupation | Quarryman |
| Address | 218 Bridge Road, Glebe, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, E Ramsbottom, Lower Mount Farm, Rawsonstable, Lancastershire, England |
| Enlistment date | 25 November 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 30 January 1918 |