| Regimental number | 9996 |
| Religion | Church of England |
| Occupation | Cook and baker |
| Address | West Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs A S Stockdill, 40 Cowell Street, West Perth, Western Australia |
| Enlistment date | 8 November 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Australian Stationary Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Stationary Hospital |
| Fate | Returned to Australia 11 July 1917 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |