| Regimental number | 4868 |
| Place of birth | Glamorgan Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | c/o Millar's T and T Coy, St George's House, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Howel Rees, 'Brynteg', New Road, Forthcawl, Glamorgan, Wales |
| Enlistment date | 20 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, Special Reinforcements (Hospital and Convalescent Home) |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Effective abroad (still overseas) |
