| Regimental number | 2173 |
| Place of birth | Fleetwood England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fleetwood, Lancashire, England |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Annie Fausset, Fleetwood, Lancashire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Discharged |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |