| Regimental number | 4017 |
| Religion | Roman Catholic |
| Occupation | Driver |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, C Witham, Staffield Road, East London, England |
| Enlistment date | 28 August 1915 |
| Date of enlistment from Nominal Roll | 20 August 1914 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/24/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Killed in Action 19 July 1916 |
