| Regimental number | 4916 |
| Place of birth | Bristol, England |
| Religion | Methodist |
| Occupation | Engineer |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs. Kathleen Martin, 448 Boundary Street, Spring Hill, Queensland |
| Enlistment date | 16 January 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia 10 April 1919 |
