| Regimental number | 21054 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Telephone mechanic |
| Address | North Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Nellie Helen Lilley, John Street, North Fremantle, Western Australia |
| Enlistment date | 11 June 1917 |
| Date of enlistment from Nominal Roll | 28 May 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st to 5th Divisional Signal Companies and Signallers November 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia 16 January 1919 |