| Regimental number | 3751 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Wool classer |
| Address | Forest Lodge, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Marion Mathilda Atwell, Albert Street, Forest Lodge, New South Wales |
| Enlistment date | 2 May 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 27 September 1917 |
