| Regimental number | 803 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | Port Hacking Road, Hyfield, Miranda, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs E T Atkins, Port Hacking Road, Hyfield, Miranda, New South Wales |
| Enlistment date | 26 March 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, C Company |
| AWM Embarkation Roll number | 23/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport Berrima on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 8 August 1916 |
