| Regimental number | 6605 |
| Place of birth | Middlesex England |
| Religion | Church of England |
| Occupation | Lumper |
| Address | 80 King Street, East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Annie Dymock, 80 King Street, East Fremantle, Western Australia |
| Enlistment date | 17 April 1916 |
| Date of enlistment from Nominal Roll | 9 March 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 | Australian Army Medical Corps |
| Fate | Returned to Australia 20 December 1917 |