| Regimental number | 13771 |
| Place of birth | Plymouth England |
| Religion | Church of England |
| Occupation | Coal miner |
| Address | Balgowrie, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs A Easterbrook, Mein Street, Balgowrie, New South Wales |
| Enlistment date | 12 November 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Stationary Hospital |
| Fate | Returned to Australia 15 June 1919 |
| Other details | Medals: British War Medal, Victory Medal |