| Regimental number | 4081 |
| Place of birth | Devon, England |
| Religion | Baptist |
| Occupation | Sailor |
| Marital status | Single |
| Age at embarkation | 32 |
| Enlistment date | 12 February 1915 |
| Date of enlistment from Nominal Roll | 11 February 1915 |
| Place of enlistment | Perth, Western Australia |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 4 |
| AWM Embarkation Roll number | 13/31/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on 1 April 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 21 March 1919 |