| Regimental number | 6502 |
| Place of birth | Mount Gambier, South Australia |
| Religion | Congregational |
| Occupation | Baker |
| Address | Bordertown, South Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs K England, Bordertown, South Australia |
| Enlistment date | 30 June 1916 |
| Date of enlistment from Nominal Roll | 30 June 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Gen Base D |
| Fate | Returned to Australia 11 May 1919 |
