| Regimental number | 4587 |
| Place of birth | Goolwa South Australia |
| Religion | Wesleyan |
| Occupation | Labourer |
| Address | Uranquinty, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Mary Jolly, Uranquinty, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |