| Regimental number | 19101 |
| Place of birth | Shrewsbury, England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Sydney, New South Wales |
| Marital status | Widower |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Lydia Tanner, 'Jesmond,' Horton Street, Marrickville, New South Wales |
| Enlistment date | 15 May 1917 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Sapper |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Field Company Engineers |
| Fate | Returned to Australia 4 December 1918 |
