| Regimental number | 490 |
| Place of birth | Derbyshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bathurst PO, Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Lydia Perry, 106 Kippax Street, Surry Hills, New South Wales |
| Enlistment date | 17 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, B Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Returned to Australia 13 February 1917 |