| Regimental number | 3428 |
| Place of birth | Cumberland England |
| Religion | Church of England |
| Occupation | Master plumber |
| Address | Mason Street Cottesloe Beach, Western Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M Mitchell, 98 Greystoneroad, Carlisle, Western Australia |
| Enlistment date | 3 August 1915 |
| Date of enlistment from Nominal Roll | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 24 December 1918 |
