| Place of birth | Beauford England |
| Religion | Church of England |
| Occupation | Wheat exporter |
| Address | 188 Adelaide Terrace, Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Beatrice Minnie Rose, 188 Adelaide Terrace, Perth, Western Australia |
| Enlistment date | 10 November 1915 |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 43rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on 30 October 1916 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 31 January 1918 |
