| Regimental number | 5668 |
| Place of birth | Durham England |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Mount Larcom via Gladstone, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs E Close, Smileworth Hotel, Emsley Yorkshire, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Miscellaneous details | Address incorrectly entered on Embarkation Roll as Mount Tarcom, Queensland. |