| Regimental number | 6851 |
| Place of birth | North Shields England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Railway Dining Rooms, Flinders Street, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs H Bothwright, North Shields, Northumberland, England |
| Enlistment date | 31 August 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 9 August 1919 |
