| Regimental number | 3834 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Ada Jamieson Fubbs, 4 Spring Street, Paddington, New South Wales |
| Enlistment date | 9 November 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |