| Regimental number | 10204 |
| Place of birth | Dover England |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | Allans Road, Belmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs H Rouse, Allans Road, Belmore, New South Wales |
| Enlistment date | 14 September 1915 |
| Date of enlistment from Nominal Roll | 13 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Reinforcement 2 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 12 June 1919 |
