| Regimental number | 3930 |
| Place of birth | London England |
| Religion | Congregational |
| Occupation | Contractore |
| Address | Stanfordham, Stuart Avenue, Manly, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Eliza Watts, Stanfordham, Stuart Avenue, Manly, Sydney, New South Wales |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 27 August 1917 |
