| Regimental number | 21291 |
| Place of birth | Yorkshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Coramba, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs C Swift, 8 Ivy Mount, York Road, Leeds, Yorkshire, England |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 36th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia 1 July 1919 |
