| Regimental number | 4696 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 2 Cole Street, Plaistow, England |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Agnes Etherington, 2 Cole Street, Plaistow, England |
| Enlistment date | 7 February 1916 |
| Date of enlistment from Nominal Roll | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Discharged 27 October 1919 |
