| Regimental number | 4321 |
| Place of birth | Mooroopna Victoria |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | Longreach, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Friend, Mrs Sylvia Smith, 916 Drummond Street, Carlton, Melbourne, Victoria (wife's address unknown) |
| Enlistment date | 2 June 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |