| Regimental number | 14661 |
| Place of birth | Williamstown Victoria |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs A Randall, 107 Lawler Street, Subiaco, Western Australia |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | RBAA |
| Fate | Returned to Australia 19 October 1917 |