| Regimental number | 3402 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Waiter |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Sophia Waterfield, 18 Union Street, Kingsland Road, Hoxton, England |
| Enlistment date | 20 June 1917 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/50/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 5 September 1919 |
