| Regimental number | 1741 |
| Place of birth | Gloucester England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ireland Street, Merts Estate, Lithgow, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Charlotte Squires, 48 Wesley Street, Cumbran near Newport, Monmouthshire, England |
| Enlistment date | 12 February 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 22 July 1917 |