| Regimental number | 13157 |
| Place of birth | Colne England |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs J Bracewell, 24 Bridge Street, Batley, Yorkshire, England |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Effective abroad (still overseas) |
