| Regimental number | 210 |
| Place of birth | South Moulton England |
| Religion | Church of England |
| Occupation | Pharmaceutical chemist |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs E Watts, 30 Sheppherdbush Road, Sheppherdbush, London, England |
| Enlistment date | 5 March 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 6th Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 17 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Discharged 21 August 1916 |
