| Regimental number | 15613 |
| Place of birth | Northlew England |
| Religion | Church of England |
| Occupation | Carpenter and joiner |
| Address | Stephens Street, Morningside, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Martha Elsie Glass, Stephens Street, Morningside, Brisbane, Queensland |
| Enlistment date | 3 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 31 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Engineers Details |
| Fate | Returned to Australia 4 May 1917 |
