| Regimental number | 1221 |
| Place of birth | Plymouth England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ida Amelia Russell, PO Hotel, Charlestown, New South Wales |
| Enlistment date | 4 December 1915 |
| Rank on enlistment | Driver |
| Unit name | 36th Battalion, D Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | SM |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 3 May 1919 |