| Regimental number | 1076 |
| Place of birth | Staffordshire England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Uncle, W. Booth, 23 Alsager Road, Audley, Staffordshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, D Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
