| Regimental number | 3456 |
| Place of birth | Cardiff South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 83 Manfield Street, Rozelle, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs M Triggs, 83 Manfield Street, Rozelle, Sydney, New South Wales |
| Enlistment date | 29 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 13 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 8 April 1919 |
