| Regimental number | 3865 |
| Place of birth | Northam Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Pingelly, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S W Wyatt, Pingelly, Western Australia |
| Enlistment date | 10 September 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on 17 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 28 February 1919 |
