| Regimental number | 5611 |
| Place of birth | Staffordshire England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Avoca, Tasmania |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Amy A Atherton, c/o Jacob Stanley (sen), Avoca, Tasmania |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian Clearing Hospital, 10th Reinforcement |
| AWM Embarkation Roll number | 26/102/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 9 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Returned to Australia 3 March 1916 |