
| Regimental number | 4107 |
| Date of birth | |
| Place of birth | Bootle, Liverpool, England |
| School | Public School, Bingham, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'Ceramic', Sahftesbury Road, Burwood, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Elizabeth Holt, 'Ceramic', Shaftesbury Road, Burwood, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |