| Regimental number | 4779 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Carter |
| Address | c/o Mrs Bentley, South Coast Diary, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Florence Ash, 32 North Street, Bedmunster, Bristol, England |
| Enlistment date | 16 November 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 1 July 1919 |