| Regimental number | 635 |
| Place of birth | Durham England |
| Religion | Roman Catholic |
| Occupation | Tailor |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Elizabeth Brown, Collie, Western Australia |
| Enlistment date | 5 November 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 14, Reinforcement 11 |
| AWM Embarkation Roll number | 24/19/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 19 February 1919 |
