| Regimental number | 18676 |
| Place of birth | Glenore New Zealand |
| Religion | Church of England |
| Occupation | Chef |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Helena May Wallis, 20 James Street, North Sydney, New South Wales |
| Enlistment date | 7 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Troop Company Engineers |
| Fate | Returned to Australia 31 March 1919 |
