| Regimental number | 4763 |
| Place of birth | Cambridge Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Innisfail, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Aunt, M Connop, Belmont, Bath Somerset, England |
| Enlistment date | 9 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 20 May 1919 |
