| Regimental number | 521 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Searfaring |
| Address | Catherine Hill Bay, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs A Douthwaite, Catherine Hill Bay, New South Wales |
| Enlistment date | 13 February 1915 |
| Date of enlistment from Nominal Roll | 9 March 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 17 March 1917 |