| Regimental number | 3983 |
| Place of birth | Shepton Mallet England |
| Religion | Church of England |
| Occupation | Shunter on railway |
| Address | 10 Fern Street, Islington, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Ellen Whittaker, 25 Charlotte Place, Cadoxton, Barry, South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 4 |
| AWM Embarkation Roll number | 13/29/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 135 Date: |