| Regimental number | 5463 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 174 Darling Street, Balmain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Miss E Watkins, 67 Brunswick Road, Sparkbrook Birmingham, England |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Trench Mortar Battery |
| Fate | Returned to Australia 2 May 1919 |
