| Regimental number | 1064 |
| Place of birth | Gilberton South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps, Company 3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia |