| Regimental number | 6177 |
| Place of birth | Bristol England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 45 Birrell Street, Waverley, NSW W |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs Annie Pinn, 40 Ferguson Street, Fish Ponds, Bristol, England |
| Enlistment date | 30 October 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 31 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Effective abroad (still overseas) |
