| Regimental number | 6286 |
| Place of birth | Enfield Tower England |
| Religion | Church of England |
| Occupation | Wheelwright |
| Address | 13 Ruby Street, Leederville, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Dancer, 13 Ruby Street, Leederville, Western Australia |
| Enlistment date | 5 March 1915 |
| Rank on enlistment | WHLR |
| Unit name | Australian Army Service Corps 16th Company |
| AWM Embarkation Roll number | 25/104/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 22 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 28 February 1919 |
