| Regimental number | 3956 |
| Place of birth | England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Padbury, Kooyan, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Young, Claremont Asylum, WA, guardian, uncle, John Barnard, Forrest Street, Cottesloe, Western Australia |
| Enlistment date | 6 August 1917 |
| Rank on enlistment | Private |
| Unit name | August 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A73 Commonwealth on 9 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
