| Regimental number | 4740 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Frogmore Street, Mascot, Mascot, Sydney, New South Wales |
| Marital status | Widower |
| Age at embarkation | 42 |
| Next of kin | Brother, P Whitehead, c/o Mrs Morrison, 39 Albion Street, Surry Hills, Surry Hills, Sydney, New South Wales |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 8 August 1916 |
