| Regimental number | 2166 |
| Place of birth | Dorset England |
| Religion | Church of England |
| Occupation | Draper |
| Address | Sebastopol, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Catherine Bates, c/o Vincent Jermyn, Rubicon Street, Sebastopol, Victoria |
| Enlistment date | 19 May 1915 |
| Date of enlistment from Nominal Roll | 1 April 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/25/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 17 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 19 January 1916 |
