| Regimental number | 4772 |
| Place of birth | Bootle England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Catherine Crew, 65 Balla Street, Bootle, Liverpool, England |
| Enlistment date | 5 March 1917 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 1 November 1917 |
