| Regimental number | 4886 |
| Place of birth | Kettering England |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Oolbun North, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs H Slater, 34 Cobten Street, Kettering North Hants, England |
| Enlistment date | 11 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 11 January 1918 |
