| Regimental number | 336 |
| Place of birth | Widnes England |
| Religion | Church of England |
| Occupation | Groom |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Samuel Medsworth, 38 Yelverton Street, St Peters, Sydney, New South Wales |
| Enlistment date | 9 September 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, B Company |
| AWM Embarkation Roll number | 23/20/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 19 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
