| Regimental number | 22366 |
| Place of birth | Devonshire England |
| Religion | Church of England |
| Occupation | Hewer |
| Address | Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Father, G Old, Katanning, Western Australia |
| Enlistment date | 28 January 1916 |
| Date of enlistment from Nominal Roll | 27 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Battery 109 |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 16 June 1919 |
