| Regimental number | 3867 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Halifax via Lucinda, Queensland |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Nil |
| Enlistment date | 24 March 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 13 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 1 November 1917 |
