| Regimental number | 1053 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | West Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Gertrude M Sutcliffe, 35 Davis Street, West Coburg, Victoria |
| Enlistment date | 6 November 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Naval and Military Expeditionary Force, Reinforcements (March 1915-May 1919) |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Matunga on 20 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
