| Regimental number | 4173 |
| Place of birth | Guildford Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs Mary Jane Poultridge, 13 James Street, Perth, Western Australia |
| Enlistment date | 21 July 1917 |
| Rank on enlistment | Private |
| Unit name | Camel Corps, July 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A73 Commonwealth on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 2 August 1919 |
