| Regimental number | 5256 |
| Place of birth | Durham, England |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs L McQuillan, 54 Stinton Street, South Shields, England |
| Enlistment date | 14 February 1916 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 27 July 1917 |
