| Regimental number | 1514 |
| Place of birth | Hull England |
| Religion | Church of England |
| Occupation | Butcher and cook |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs F W Burkitt, Wagerup, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |