| Regimental number | 4907 |
| Place of birth | Reading England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Salisbury, South Coast Line, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Susan E Mattick, Salisbury, South Coast Line, Brisbane, Queensland |
| Enlistment date | 30 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Company 4, Headquarters 1 |
| AWM Embarkation Roll number | 16/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 11 January 1918 |