| Regimental number | 5776 |
| Place of birth | Moonta South Australia |
| Religion | Church of England |
| Occupation | Miner |
| Address | Railway Town, Broken Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs V M Martin, Cornish Street off Harris Street, Railway Town, Broken Hill, New South Wales |
| Enlistment date | 18 May 1916 |
| Date of enlistment from Nominal Roll | 6 May 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies |
| Fate | Returned to Australia 31 October 1917 |