| Regimental number | 3689 |
| Place of birth | Colchester England |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Mrs F Pilgrim, 16 Back Lane, Hythe Hill Colchester, England |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 4 May 1917 |