
| Regimental number | 3621 |
| Place of birth | Woolwich England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs A Bevan, 3 Ellesmere Road, Silvertown, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/74/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Fate | Killed in Action |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |