| Regimental number | 9128 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Wheelwright |
| Address | Dudley Street, Midland Junction, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E Till, Dudley Street, Midland Junction, Western Australia |
| Enlistment date | 28 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | 2nd Divisional Ammunition Column |
| AWM Embarkation Roll number | 25/90/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A39 Port Macquarie on 16 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 17 March 1917 |
