| Regimental number | 2122 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 235 Hensman Road, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, 235 Hensman Road, Subiaco, Western Australia |
| Enlistment date | 13 January 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A2 Geelong on 6 June 1915 |
| Regimental number from Nominal Roll | 2112 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 4 December 1915 |
