| Regimental number | 6381 |
| Place of birth | Bolton England |
| Religion | Church of England |
| Occupation | Teacher gentleman |
| Address | Mullino via Menzies, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Betsy Ormerod, 33 Draycott Street, Bolton, Lancashire, England |
| Enlistment date | 25 September 1916 |
| Date of enlistment from Nominal Roll | 17 September 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on 29 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Effective abroad (still overseas) |
