| Regimental number | 5177 |
| Place of birth | Tideswell England |
| Religion | Church of England |
| Occupation | Stone mason |
| Address | Thornley Street Drummoyne, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister-in-Law, Miss A Sellers, 65 Botany Road, Waterloo, New South Wales |
| Enlistment date | 5 October 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 5 July 1916 |