| Regimental number | 4892 |
| Place of birth | Gloucestershire, England |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Greenbushes, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs A E Hatherell, Oldbury on Hill, Didmarton, England |
| Enlistment date | 13 December 1915 |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Discharged 23 August 1917 |
