| Regimental number | 5671 |
| Place of birth | Stratford England |
| Religion | Church of England |
| Occupation | Iron worker |
| Address | Queen Street, Concord West, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs A Dellow, Queen Street, Concord West, New South Wales |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| 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 | 2nd Battalion |
| Fate | Returned to Australia 4 May 1917 |
