| Regimental number | 2142 |
| Place of birth | Seacombe England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Harry Rose, Mapleton Road, Nambour, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Cousin, Jack Williams, Piccadilly Street, Kalgoorlie, Western Australia |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 22 August 1919 |