| Regimental number | 3650 |
| Place of birth | Eltham Victoria |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Wilcannia, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Friend, John Johnson, Wilcannia Hospital, New South Wales |
| Enlistment date | 10 February 1916 |
| 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 | Sapper |
| Fate | Returned to Australia 4 May 1917 |
| Miscellaneous details (Nominal Roll) | Australian Tunnelling Details |
