| Regimental number | 3065 |
| Place of birth | Trimpon Grange England |
| Religion | Church of England |
| Occupation | Cook |
| Address | c/o GPO, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs A Fathers, Trimdon Grange, Newcastle, England |
| Enlistment date | 14 August 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 6 June 1918 |