| Regimental number | 4821 |
| Place of birth | Birmingham England |
| Religion | Society of Friends (Quaker) |
| Occupation | Labourer |
| Address | Beermunnell Hotel, Warren, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A Harvey, 55 Percy Road, Stirchley, Birmingham, England |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Depot Unit of Supply |
| Fate | Returned to Australia 11 May 1919 |
