| Regimental number | 3103 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Wickham, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Maggie Entwistle, 37 Railway Lane, Wickham, New South Wales |
| Enlistment date | 5 April 1917 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Field Squadron |
| Fate | Returned to Australia 3 July 1919 |