| Regimental number | 11619 |
| Place of birth | Baslow England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Nation Lewis, Dalmany, Bellingen |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs C Hill, 26 Carrington Road, Cudcliffe, Sheffield, England |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 2, Reinforcement 3 |
| AWM Embarkation Roll number | 25/90/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia 30 January 1918 |
