| Regimental number | 2191 |
| Place of birth | Somerset England |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 76 Forrest Street, Boulder, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Mary Jane Tytherleigh, Cheltenham Road, Stratton, Cirencester, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Medals |
Silver Medal (Serbia) Source: 'Commonwealth Gazette' No. 169 Date: |
| Date of death |