| Regimental number | 6250 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Night porter |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs L Chatterton, 262 Lord Street, East Perth, Western Australia |
| Enlistment date | 11 April 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A46 Clan Macgillivray on 18 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 4 June 1919 |
