| Regimental number | 4886 |
| Place of birth | Yorkshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kempsey, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Miss J Brown, 9 Phoenix Street, Kirkgate, Wakefield, Yorkshire, England |
| Enlistment date | 9 January 1917 |
| Date of enlistment from Nominal Roll | 8 January 1917 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 1 February 1918 |
