| Regimental number | 4901 |
| Place of birth | Perth Western Australia |
| Religion | Church of England |
| Occupation | Electrician |
| Address | 40 Wellington Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs A L Stacey, 40 Wellington Street, East Perth, Western Australia |
| Enlistment date | 7 December 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 1 June 1919 |
