| Regimental number | 5711 |
| Place of birth | Boynor England |
| Religion | Church of England |
| Occupation | Driver |
| Address | Kathleen Street, West Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, W Ticehurst, Kathleen Street, West Guildford, Western Australia |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 11 |
| AWM Embarkation Roll number | 13/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 1st Division Artillery |
| Fate | Returned to Australia 6 October 1919 |
