| Regimental number | 2622 |
| Place of birth | Shumbury, England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Yaralla, Concord West, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs E Jones, Yaralla, Concord West, Sydney, New South Wales |
| Enlistment date | |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |