| Regimental number | 200 |
| Place of birth | Wisbech, England |
| Religion | Congregational |
| Occupation | Sailor |
| Address | Pulsford Road, Prospect, South Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Height | 5' 4.25" |
| Weight | 152 lbs |
| Next of kin | Sister, Minnie Wiley, Pulsford Road, Prospect, South Australia |
| Enlistment date | 31 October 1914 |
| Date of enlistment from Nominal Roll | 25 January 1916 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, Naval and Military Forces - Special Tropical Corps (Nov 1914) |
| AWM Embarkation Roll number | 23/112/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Eastern on 28 December 1914 |
| Regimental number from Nominal Roll | 9702 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia 4 May 1917 |
| Miscellaneous details (Nominal Roll) | Enlisted twice |
