| Regimental number | 57 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Hospital dresser |
| Address | 'Hopetown', Elizabeth Street, Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Jane Watts, 'Hopetown', Elizabeth Street, Malvern, Victoria |
| Enlistment date | 4 January 1916 |
| Date of enlistment from Nominal Roll | 21 March 1916 |
| Rank on enlistment | Lance Corporal |
| Unit name | 3rd Pioneer Battalion, Headquarters |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 24 August 1918 |
