| Regimental number | 5366 |
| Place of birth | Gympie Queensland |
| Religion | Presbyterian |
| Occupation | Assistant foreman |
| Address | Mark Street, New Farm, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Clara Naomi Loosemore, Mark Street, New Farm, Brisbane, Queensland |
| Enlistment date | 6 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 29 September 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia 5 November 1917 |