| Regimental number | 5647 |
| Place of birth | Manchester England |
| Religion | Wesleyan |
| Occupation | Shop assistant |
| Address | Iluke, Andover Street, Kogarah, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E Allen, Iluke, Andover Street, Kogarah, New South Wales |
| Enlistment date | 13 September 1915 |
| Date of enlistment from Nominal Roll | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 11 January 1918 |
