| Regimental number | 2368 |
| Place of birth | Duxford England |
| Religion | Church of England |
| Occupation | Miner |
| Address | 16 Mooran Street, Boulder, Western Australia |
| Marital status | Married |
| Next of kin | Wife, Mrs Maud Douglas, 38 Alpha Road, Cambridge, Western Australia |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 October 1915 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | a Prov C |
| Fate | Discharged 25 August 1919 |
