| Regimental number | 5977 |
| Place of birth | Crediton England |
| Religion | Church of England |
| Address | Park Hill, Wannon, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E Dymond, Park Hill, Wannon, Victoria |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Regimental number from Nominal Roll | 5077 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 4 May 1917 |
