| Regimental number | 5012 |
| Place of birth | Yorkshire England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs Hilda Souley, Hemsley Norton, Yorkshire, England |
| Enlistment date | 20 March 1917 |
| Date of enlistment from Nominal Roll | 20 March 1917 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a S C Dtls |
| Fate | Returned to Australia 1 May 1919 |
