| Regimental number | 3677 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs N Atherton, 29 Roderick Road, Hampstead, London, NW, England |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 9 December 1918 |
