| Regimental number | 790 |
| Place of birth | London England |
| Religion | Baptist |
| Occupation | Ship's steward |
| Address | 99 Victoria Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Mary Withey, 135 Park Road, Crouchend, London North, England |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, C Company |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 15 May 1919 |
