| Regimental number | 5138 |
| Place of birth | Largs Bay South Australia |
| Religion | Church of England |
| Occupation | Sailor |
| Address | Woolnough Road, Largs Bay, South Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Miss Mary Florence Hickson, Woolnough Road, Largs Bay, South Australia |
| Enlistment date | 24 June 1915 |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Reinforcement 13 |
| AWM Embarkation Roll number | 14/22/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Regimental number from Nominal Roll | 5141 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 13th Field Company Engineers |
| Fate | Returned to Australia 12 April 1916 |