| Regimental number | 191 |
| Religion | Methodist |
| Occupation | Moulder |
| Address | Northcote Street, Kurri Kurri, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Florence Hazzledene, 13 Sullivan Street, Radford, Nottingham, England |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, B Company |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Discharged 6 March 1917 |
