| Regimental number | 5202 |
| Place of birth | N/A England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Forth, Tasmania |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs E Utteridge, Forth, Tasmania |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th A Division Salv Company |
| Fate | Returned to Australia 16 March 1918 |
| Date of death | 6 July 1955 |
| Place of burial | Carr Villa Cemetery |
