| Regimental number | 4145 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | North Carrington, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Miss Emily Eliza Marjoram, Lucas Street, St. George's East, London, England |
| Enlistment date | 10 February 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
