| Regimental number | 16987 |
| Place of birth | Erith England |
| Religion | Church of England |
| Occupation | Boilermaker's assistant |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Martha Harriss, 'Erith,' Dawson Street, Naremburn, New South Wales |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia 24 August 1918 |
