| Regimental number | 4211 |
| Place of birth | Fremantle, Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bruce Street, North Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Campbell, Bruce Street, North Fremantle, Western Australia |
| Enlistment date | 12 October 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A54 Runic on 29 January 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 1 June 1919 |
