| Regimental number | 4074 |
| Place of birth | West Hartlepool England |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | 24 Charles Street, Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Alice May Brayshaw, 24 Charles Street, Norwood, South Australia |
| Enlistment date | 3 December 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 23 May 1917 |
