| Regimental number | 1627 |
| Place of birth | Breadon England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Mrs S S Gardiner, 7 Clytha Park Road, Newport, Monmouth, England |
| Enlistment date | 10 December 1914 |
| Date of enlistment from Nominal Roll | 15 December 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Regimental number from Nominal Roll | 1511 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 4 May 1917 |