| Regimental number | 11628 |
| Place of birth | Little Lever England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Camden, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs S R Lough, 15 Lever Street, Little Lever, Lancashire, England |
| Enlistment date | 7 December 1915 |
| Date of enlistment from Nominal Roll | 27 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 2, Reinforcement 3 |
| AWM Embarkation Roll number | 25/90/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 11 January 1918 |
