| Regimental number | 7677 |
| Place of birth | Garrow New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Mount Magnet, Western Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Mrs A Keown, Youanmi, Western Australia |
| Enlistment date | 4 April 1917 |
| Rank on enlistment | Sapper |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 12 July 1919 |