| Regimental number | 2783 |
| Place of birth | Billington England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Lockwood Street, Sherwood, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 49 |
| Next of kin | Wife, Mrs Elizabeth Ann Cook, Lockwood Street, Sherwood, Brisbane, Queensland |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 2, Reinforcement 4 |
| AWM Embarkation Roll number | 28/3/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A57 Malakuta on 16 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Remount Unit |
| Fate | Returned to Australia 18 October 1916 |
