| Regimental number | 1140 |
| Place of birth | Tuckesbury England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | mother, Mrs Anne Ricketts, 4 Spring Gardens, Tewksbury, Gloucestershire, England |
| Enlistment date | 18 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps, Company 3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 20 February 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Electrical & Mechanical Mining Company |
| Fate | Returned to Australia 1 June 1919 |
