| Regimental number | 9706 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E Whiteley, 58 Davis Street, Boulder City, Western Australia |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Sanitary Station, 4th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Embarkation details | Unit embarked from Western Australia, |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Sanitary Section |
| Fate | Returned to Australia 8 August 1916 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
