| Regimental number | 1371 |
| Place of birth | Blackpool England |
| Religion | Church of England |
| Occupation | Cook |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | ..., Maggie Charteris, 37 Channel Street, Blackpool, England |
| Enlistment date | 26 August 1914 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, A Company |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 10 June 1915 |