| Regimental number | 5997 |
| Place of birth | Ramsden England |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | Cardigan Road, Bankstown, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs M A Dore, Cardigan Road, Bankstown, New South Wales |
| Enlistment date | 1 March 1916 |
| Date of enlistment from Nominal Roll | 25 February 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 26 September 1917 |