| Regimental number | 4367 |
| Place of birth | St Helens England |
| Religion | Church of England |
| Occupation | Dairyman |
| Address | Greens Creek via Gympie, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Emma Tickle Roughley, Greens Creek via Gympie, Queensland |
| Enlistment date | 4 November 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A16 Star Of Victoria on 30 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 4 January 1919 |
