| Regimental number | 921 |
| Place of birth | Longford Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Longford, Tasmania |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs Elizabeth Rootes, Longford, Tasmania |
| Enlistment date | 25 February 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, D Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on 1 July 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 12 May 1918 |
