| Regimental number | 7619 |
| Place of birth | Farina South Australia |
| Religion | Methodist |
| Occupation | Motor (driver) mechanic |
| Address | Broken Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Ivy Mato Jones, 142 Hanson Street, Adelaide, South Australia |
| Enlistment date | 10 May 1917 |
| Date of enlistment from Nominal Roll | 7 August 1917 |
| Rank on enlistment | Sapper |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Regimental number from Nominal Roll | 7629 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Base Depot |
| Fate | Returned to Australia 24 January 1919 |
