| Regimental number | 17387 |
| Place of birth | Hull England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | 125 View Street, Annandale, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs Ethel Omery, 125 View Street, Annandale, New South Wales |
| Enlistment date | 14 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | February 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Mcgillivray on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Field Company Engineers |
| Fate | Returned to Australia 1 July 1919 |
