| Regimental number | 6067 |
| Place of birth | Blackburn England |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | 28A King Street, Boulder, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Duckworth, 'Altham', Scadden Street, West Guildford, Western Australia |
| Enlistment date | 18 July 1916 |
| Date of enlistment from Nominal Roll | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 17 June 1918 |
