| Regimental number | 3376 |
| Place of birth | Swansea Wales |
| Religion | Congregational |
| Occupation | Labourer |
| Address | 54 Clarence Street, Mount Lawley, Western Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Mary Ellen Elliott, 54 Clarence Street, Mount Lawley, Western Australia |
| Enlistment date | 10 January 1917 |
| Date of enlistment from Nominal Roll | 9 January 1917 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 3 May 1919 |