| Regimental number | 5864 |
| Place of birth | Na?tchurch England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Tate via Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs Martha Mytton, Fair Avon, Becks, Hill-on-Sea, England |
| Enlistment date | 10 June 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 1 February 1918 |
