| Regimental number | 916 |
| Place of birth | Old Hill England |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Sarah Anne Willetts, Old Hill, Staffordshire, England |
| Previous military service | 14th Infantrty |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, C Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Discharged 4 October 1919 |
