| Regimental number | 12676 |
| Place of birth | Normanton England |
| Religion | Methodist |
| Occupation | Porter, S A R |
| Address | Victor Harbour, South Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E E Staley, Victor Harbour, South Australia |
| Enlistment date | 16 February 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Motor Transport Section |
| Fate | Returned to Australia 21 June 1919 |
