| Regimental number | 10891 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Annie Louisa Lilley, 46 Annie Street, New Farm, Brisbane, Queensland |
| Enlistment date | 17 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | 11th Field Company Engineers, Reinforcement 1 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Returned to Australia 5 April 1918 |
