| Regimental number | 3838 |
| Place of birth | Nova Scotia Canada |
| Religion | Baptist |
| Occupation | Seaman |
| Marital status | Single |
| Age at embarkation | 43 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia |