| Regimental number | 4528 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ebbw Vale, Lpswich Line, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Jeffrey, Ebbw Vale, Ipswich Line, Queensland |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 13 February 1917 |
