| Regimental number | 1434 |
| Place of birth | Shillingstone England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs M J Witherby, 375 Lord Street, Mount Lawley, Western Australia |
| Enlistment date | 30 October 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on 22 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Effective abroad (still overseas) |
