| Regimental number | 2412 |
| Place of birth | Exeter, England |
| Religion | Church of England |
| Occupation | Navvy |
| Address | 84 Jersey Road, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Maria Beverley, 84 Jersey Road, Paddington, New South Wales |
| Enlistment date | 13 June 1916 |
| Place of enlistment | Merriwa, New South Wales |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Effective abroad (still overseas) |