| Regimental number | 4193 |
| Place of birth | Croydon England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Windsor Coffee Palace Wellington Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Miss B Fairweather C/o Miss Maggs, Royal Hospital, Pubney London, England |
| Enlistment date | 20 September 1915 |
| Date of enlistment from Nominal Roll | 16 September 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 21 June 1919 |
