| Regimental number | 6991 |
| Place of birth | Norseman, Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 1334 Campbell Street, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M M Delamotte, 1334 Campbell Street, Kalgoorlie, Western Australia |
| Enlistment date | 25 September 1916 |
| Date of enlistment from Nominal Roll | 3 September 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 1 June 1919 |
