| Regimental number | 5365 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Stewart Street, Helensburg, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Elizabeth Ann Loseby, Stewart Street, Helensburg, South Coast, New South Wales |
| Enlistment date | 1 March 1916 |
| Date of enlistment from Nominal Roll | 26 February 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 20 June 1919 |
