| Regimental number | 11510 |
| Place of birth | Breedon On The Hill England |
| Religion | Church of England |
| Occupation | Baker |
| Address | 48 Bellvue Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M Dallman, Breedin-on-the-Hill, De La Zouch, England |
| Enlistment date | 17 April 1916 |
| Rank on enlistment | Private |
| Unit name | Field Bakery 3 |
| AWM Embarkation Roll number | 25/40/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Field Bakery |
| Fate | Returned to Australia 31 March 1919 |
