| Regimental number | 2738 |
| Place of birth | Hull, England |
| Religion | Church of England |
| Occupation | Railway construction worker |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Mary Ann Stacey, 15 Bright Grove, Northumberland Avenue, Hull, England |
| Enlistment date | 15 August 1916 |
| Place of enlistment | Bundaberg, Queensland |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Motor Transport Company |
| Fate | Returned to Australia 5 July 1919 |
