| Regimental number | 6017 |
| Place of birth | Hoszell England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Marvel Loch, Southern Cross, Western Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs F Cavey, King William Street, Bayswater, Western Australia |
| Enlistment date | 18 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 27 July 1917 |
