| Regimental number | 9913 |
| Place of birth | Southampton England |
| Religion | Methodist |
| Occupation | Engineer smith |
| Address | Willewa Street, Portland, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Louisa Mason, Willewa Street, Portland, New South Wales |
| Enlistment date | 18 February 1916 |
| Date of enlistment from Nominal Roll | 27 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | 9th Field Company Engineers |
| AWM Embarkation Roll number | 14/28/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia 5 November 1917 |