| Regimental number | 5341 |
| Place of birth | Farnworth England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Bloor, South Bunbury, Western Australia |
| Enlistment date | 7 March 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 15 January 1919 |