| Regimental number | 5515 |
| Place of birth | Chorley England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Jones Street off Windsor Street, Red Hill, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs M J Southworth, Jones Street off Windsor Street, Red Hill, Brisbane, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette' No. 31089 (31 December 1918); 'Commonwealth Gazette' No. 61 (23 May 1919). |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |