| Regimental number | 6134 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 71 Kent Street, Miller's Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Kate Matthews, 140 Soho Hill, Handsworth, Birmingham, England |
| Enlistment date | 20 June 1916 |
| Date of enlistment from Nominal Roll | 13 June 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 16 January 1919 |
