| Regimental number | 6121 |
| Place of birth | Warrington England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | 22 Kent Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Miss M Stewart,Warrington, New South Wales |
| Enlistment date | 30 August 1916 |
| Date of enlistment from Nominal Roll | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Effective abroad (still overseas) |
