| Regimental number | 4129 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 33 Brisbane Street, Milson's Point, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs Ethel Edith Alice Poore, 465 Bourke Street, Darlinghurst, New South Wales |
| Enlistment date | 25 January 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Place of enlistment | Liverpool, England |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 5 July 1919 |
