| Regimental number | 19773 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Telegraphist |
| Address | Gerladton, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Clara Violet Underwood, P O Geraldton, Geraldton, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 4, Reinforcement 16 |
| AWM Embarkation Roll number | 22/14/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |