| Regimental number | 20040 |
| Place of birth | Hobart Tas |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Taree, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Sarah Homer, PO Hobart, Tasmania |
| Enlistment date | 3 August 1917 |
| Date of enlistment from Nominal Roll | 23 July 1917 |
| Rank on enlistment | Sapper |
| Unit name | August 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 6th Field Company Engineers |
| Fate | Returned to Australia 3 May 1919 |