| Regimental number | 18528 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Assistant butcher |
| Address | North Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Miss P Shepard, 8 Brushfield Street, Bishop's Gate Street Without, London, England |
| Enlistment date | 18 January 1917 |
| Date of enlistment from Nominal Roll | 16 January 1917 |
| Rank on enlistment | Private |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 9 January 1919 |