| Regimental number | 5784 |
| Place of birth | Coggeshall England |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Emerald, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, George Amos. Aston House, Coggeshall, Essex, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |