| Regimental number | 5779 |
| Place of birth | Bradford England |
| Religion | Church of England |
| Occupation | Mechanic and engine driver |
| Address | Neeton via Yanco, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs F Maxwell, Farm 537, Neeton via Yanco, New South Wales |
| Enlistment date | 29 June 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 | Australian Electrical, Mechanical Mining & Boring Company |
| Fate | Returned to Australia 6 September 1919 |
