| Regimental number | 4111 |
| Place of birth | Spalding England |
| Religion | Baptist |
| Occupation | Able seaman |
| Address | Scarborough PO, Clifton, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Step-Brother, H Hibbons, c/o Mrs Rose, Holywood Farm, Stone, Staffordshire, England |
| Enlistment date | 2 October 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
