| Regimental number | 3619 |
| Place of birth | Essex England |
| Religion | Baptist |
| Occupation | Cleaner |
| Address | 68 Annandale Street, Annandale, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Mrs F Welsh, 68 Annandale Street, Annandale, New South Wales |
| Enlistment date | 5 November 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 12 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 2 June 1919 |
