| Regimental number | 4028 |
| Place of birth | Calne England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Commonwealth Bank of Australia, Currie King Island, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Summers, Harley Farm, Heddington Calne Wiltshire, England |
| Enlistment date | 25 August 1915 |
| Date of enlistment from Nominal Roll | 23 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 24 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Effective abroad (still overseas) |