| Regimental number | 4011 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | West Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs M Baxter, 28 Gordon Street, West Footscray, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
