| Regimental number | 16003 |
| Religion | Church of England |
| Occupation | Sleeper hewer |
| Address | Greenbushes, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, F Constant, Riverside House, Hill Lane, Canterbury, Kent, England |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Reinforcement 3 |
| AWM Embarkation Roll number | 13/133/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Miscellaneous details (Nominal Roll) | see other |