| Regimental number | 6600 |
| Place of birth | Gainsborough England |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Babakin, Bruce Rock, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs Margaret Wareing c/o Mrs Parish, Servitus Street, Osborne, Western Australia |
| Enlistment date | 24 June 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 13 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 3 March 1919 |