| Regimental number | 3167 |
| Place of birth | Great Torrington England |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | Leichhardt, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Adeline Marie Elsworthy, 'Banff', Elswick Street, Leichhardt, New South Wales |
| Enlistment date | 28 February 1917 |
| Date of enlistment from Nominal Roll | 28 February 1917 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/53/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Administrative Headquarters |
| Fate | Returned to Australia 25 September 1919 |
