| Regimental number | 17900 |
| Place of birth | Northam Western Australia |
| Religion | Roman Catholic |
| Occupation | Hewer |
| Address | Kirup, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Amanda Jane Lloyd, Gilgering, York, Western Australia |
| Enlistment date | 1 May 1917 |
| Date of enlistment from Nominal Roll | 14 April 1917 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 4, Reinforcement 12 |
| AWM Embarkation Roll number | 22/14/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia 3 May 1919 |