| Regimental number | 4765 |
| Place of birth | Lake Cordah Vic |
| Religion | Church of England |
| Occupation | Prospector |
| Address | Waratah, Tasmania |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs A Everard, c/o Everard Bros, Bourke Street, Melbourne, Victoria |
| Enlistment date | 11 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 24 August 1918 |
