| Regimental number | 4783 |
| Place of birth | Manchester England |
| Religion | Methodist |
| Occupation | Bushman |
| Address | Peoples Palace, Pitt Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs E Dean, Blackburn, Lancs, England |
| Enlistment date | 28 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star of England on 8 March 1916 |
| Regimental number from Nominal Roll | 4783A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Army Corps Reinforcements Camp |
| Fate | Returned to Australia 7 February 1919 |
