| Regimental number | 5481 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | 200 Hood Street, Leichhardt, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs. C. Pickering, 254a Brixton Hill, London, England |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 5 November 1917 |
