
| Place of birth | Roma Queensland |
| Religion | Church of England |
| Occupation | Surveyor |
| Address | Cambooya, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs Susan Jane Gore, Cambooya, Queensland |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 1st Pioneer Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |