| Regimental number | 4777 |
| Place of birth | New Barnet England |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Roebourne, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Enlistment date | 16 December 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 2 January 1919 |
