| Place of Birth: | Biddenden, Kent |
| Home Address: | 3, The Square, Pontlottyn |
| Regiment: | Queens Own (Royal West Kent) Regiment |
| Regimental no.: | 12678 |
| Rank: | Private |
| Reported died; Prisoner of War: | 01.12.1917 |
| Plaque & Scroll, Victory Medal sent to: |
| Edith Louisa May Drury (widow) |
| 25 Glyn Street, Abertysswg |