| Regimental number | 9503 |
| Place of birth | Louth England |
| Religion | Church of England |
| Occupation | Balcksmith |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary Jane Staples, Newmarket, South Lincolnshire, England |
| Enlistment date | 16 October 1915 |
| Rank on enlistment | 2nd Corporal |
| Unit name | 11th Field Company Engineers, Section 4 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from OUTER HARBOR, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia 11 May 1919 |