| Regimental number | 1821 |
| Place of birth | Carewe England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs Ada Ellerton, c/o S S Montoro, Burns, Phillip and Co, Brisbane, Queensland |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 23 May 1917 |
