| Regimental number | 666 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Railway Boarding House, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Mrs Gertie Small, 7 Nicholson Street, Cleethorpe, Lincolnshire, England |
| Enlistment date | |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, F Company |
| AWM Embarkation Roll number | 23/26/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A5 Omrah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Discharged |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |