| Regimental number | 5220 |
| Place of birth | Alton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mourilyan Mill, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs E Withers, 14 Ethelmont, Alton Hampshire, England |
| Enlistment date | 9 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Returned to Australia 22 September 1919 |
