| Regimental number | 3621 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Driver |
| Address | 31 Batman Street, North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Olga Bates, 31 Batman Street, North Fitzroy, Victoria |
| Enlistment date | 17 August 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 8 |
| AWM Embarkation Roll number | 14/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 22 September 1919 |