| Regimental number | 6096 |
| Place of birth | Norwich England |
| Religion | Church of England |
| Occupation | Draper |
| Address | Norwood, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Selfe, 8 Mount Street, Diss Norfolk, England |
| Enlistment date | 14 June 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 20 January 1919 |
