| Regimental number | 6803 |
| Place of birth | Exmouth England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs E Sanders, 1 Charles Street, Exmouth Devon, England |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Miscellaneous details (Nominal Roll) | nonrr |