| Regimental number | 4776 |
| Place of birth | Crowland England |
| Religion | Church of England |
| Occupation | Dairyman |
| Address | c/o Mrs Coxe, Wentworth Hotel, Bondi, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs H Sharman, c/o Mrs Coxe, Wentworth Hotel, Bondi, New South Wales |
| Enlistment date | 9 November 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
