| Regimental number | 6716 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Roslyn PO, via Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs F M Basford, c/o Mrs J Carver, Shelford Lodge, Radcliffe on Trent, Nottinghamshire, England |
| Enlistment date | 14 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 6 July 1919 |
