| Regimental number | 16288 |
| Place of birth | Bath England |
| Religion | Baptist |
| Occupation | Plasterer |
| Address | South Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs E E Record, Bailey Street, South Launceston, Tasmania |
| Enlistment date | 3 May 1916 |
| Date of enlistment from Nominal Roll | 4 April 1916 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Effective abroad (still overseas) |
