| Regimental number | 3120 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wickham, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Eva Rose, 53 Abbey Road, Farcatton, Northampton, England |
| Enlistment date | 16 February 1917 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/53/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 10 May 1917 |
| Regimental number from Nominal Roll | 3120A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Headquarters, Australian Base Depot |
| Fate | Returned to Australia 1 July 1919 |
