| Regimental number | 3960 |
| Place of birth | Tonbridge England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Government Farm, Booberowie, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs L Whitehead, 204 Old Lane, Hollington St Leonards on Sea Sussex, England |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Regimental number from Nominal Roll | 56160 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 10 April 1919 |
