| Regimental number | 18640 |
| Place of birth | Coldridge England |
| Religion | Church of England |
| Occupation | Dairyman |
| Address | Barrengarry, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Annie Madge, Hill Farm, Barrengarry, New South Wales |
| Enlistment date | 23 February 1917 |
| Rank on enlistment | Sapper |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 14th Field Company Engineers |
| Fate | Returned to Australia 25 March 1919 |
