| Regimental number | 5333 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Mill hand |
| Address | Trent, Willow Grove, Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs G Atkin, Willow Grove, Coburg, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 15 Date: |