| Regimental number | 3053 |
| Place of birth | Bath England |
| Religion | Church of England |
| Occupation | Plaster |
| Address | 239 Beaufort Street, Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Annie Jane Deacon, Maryport Street, Usk, Monmouthshire, Wales |
| Enlistment date | 17 August 1914 |
| Date of enlistment from Nominal Roll | 27 August 1914 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column (Sept-Oct 1914) |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on 2 November 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 15 August 1915 |
