| Regimental number | 6462 |
| Place of birth | Midland Junction, Western Australia |
| Religion | Church of England |
| Occupation | Apprentice fitter |
| Address | 9 Knutsford Street, North Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Catherine Anne Drake, 9 Knutsford Street, North Perth, Western Australia |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 13 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 4 May 1917 |
