| Regimental number | 66890 |
| Place of birth | Longton England |
| Religion | Methodist |
| Occupation | Coal miner |
| Address | Teralba Road, Adamstown, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M Bradshaw, Teralba Road, Adamstown, Newcastle, New South Wales |
| Enlistment date | 9 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 23 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
