| Regimental number | 38177 |
| Place of birth | St Helens England |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Lake Grace, West Wagin, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary Elizabeth Rose, St Helens, Lancashire, England |
| Enlistment date | 19 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 31 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Regimental number from Nominal Roll | 38171 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia 21 March 1919 |
