| Regimental number | 1925 |
| Place of birth | Llansaint The Bluff South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Muswellbrook PO, Muswellbrook, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Cousin, D T Lloyd, Guilfield, Welshpool, England |
| Enlistment date | 14 April 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 4 December 1918 |
