| Regimental number | 9441 |
| Place of birth | Northampton England |
| Religion | Baptist |
| Occupation | Repairer, G S R |
| Address | Raglan Street, Pingelly, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Ada Causebrooke, Post Office Narrogin, Narrogin |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 15 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |