| Regimental number | 6509 |
| Place of birth | Derby England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S Fletcher, 48 Setwell Street, Spindon Derbyshire, England |
| Enlistment date | 15 August 1916 |
| Date of enlistment from Nominal Roll | 18 August 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Discharged 20 November 1919 |
