| Regimental number | 6562 |
| Place of birth | Cardiff Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Winnie Villa, Rawson Street, Mascot, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs E J Redman, Rawson Street, Mascot, Sydney, New South Wales |
| Enlistment date | 5 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 | Sapper |
| Unit from Nominal Roll | 15th Light Railway Operating Company |
| Fate | Returned to Australia 15 February 1918 |
