| Regimental number | 6712 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Carpenter |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Cousin, Charles Bourne, Capel, Western Australia |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | 8th Field Company Engineers, Reinforcement 4 |
| AWM Embarkation Roll number | 14/27/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Field Company Engineers |
| Fate | Returned to Australia 22 January 1917 |
