| Regimental number | 6512 |
| Place of birth | Kelmscott Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kelmscott, Western Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Mary Irene Fancote, Kelmscott, Western Australia |
| Enlistment date | 17 April 1916 |
| Date of enlistment from Nominal Roll | 29 March 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 17 March 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 31 January 1918 |
| Date of death | 4 September 1926 |
| Place of burial | Karrakatta Cemetery |