| Regimental number | 13976 |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Brisbane, Queensland |
| Marital status | Widower |
| Age at embarkation | 41 |
| Next of kin | Daughter, Miss Hilda May Gardiner, 73 Howard Street, Gloucester, England |
| Enlistment date | 3 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | 12th Field Company Engineers, Reinforcement 3 |
| AWM Embarkation Roll number | 14/31/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |