| Regimental number | 3699 |
| Place of birth | Brighton England |
| Religion | Church of England |
| Occupation | Musician |
| Address | Liverpool, New South Wales |
| Marital status | Widower |
| Age at embarkation | 42 |
| Next of kin | Sister-in-Law, Mrs Winifred Shaw, 55 Regents Street, Sydney, New South Wales |
| Enlistment date | 17 June 1917 |
| Date of enlistment from Nominal Roll | 22 September 1915 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Regimental number from Nominal Roll | 3699A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 9 March 1919 |
