| Regimental number | 3723 |
| Place of birth | Chester England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Quinn's via Nannine, Western Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Friend, A Roberts, Mount Magnet, Western Australia |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 4 May 1917 |
