| Regimental number | 5056 |
| Place of birth | Shropshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Boya via Darlington, Western Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs S Blount, Neenton, Shropshire, England |
| Enlistment date | 6 January 1916 |
| Date of enlistment from Nominal Roll | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 14 January 1917 |
