| Regimental number | 2769 |
| Place of birth | Lancashire England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 53 Cardian Street, Stanmore, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs Marion Ashton, Ecceles, Lancashire, England |
| Enlistment date | 16 November 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 1 February 1918 |