| Regimental number | 6872 |
| Place of birth | Durham England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Mount Perry via Bundaberg, Queensland |
| Marital status | Widower |
| Age at embarkation | 44 |
| Next of kin | Daughter, Miss Hilda Barbara Storey, Box 26, Mount Perry via Bundaberg, Queensland |
| Enlistment date | 16 February 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
