| Regimental number | 28428 |
| Place of birth | Sutton Berrington England |
| Religion | Baptist |
| Occupation | Farmer |
| Address | Broomehill East, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs N Denny, Gnowangerup, Western Australia |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 21, Reinforcement 7 |
| AWM Embarkation Roll number | 13/131/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 21st Field Artillery Brigade |
| Fate | Returned to Australia 14 November 1916 |
