| Regimental number | 4089 |
| Place of birth | North Walsham England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Isaea Dangar Street, Randwick, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Cork, Chelsea House, North Walsham Norfolk, England |
| Enlistment date | 9 October 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Cyclists' Battalion |
| Fate | Returned to Australia 4 June 1919 |
