| Regimental number | 6826 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Factory hand |
| Address | West Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Ticehurst, Kathleen St, West Guildford, Western Australia |
| Enlistment date | 10 July 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 26 September 1917 |
