| Regimental number | 5756 |
| Place of birth | Ipswich Queensland |
| Religion | Wesleyan |
| Occupation | Labourer |
| Address | Coorparoo, Queensland |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs L C Beverley, Lota, Manly, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 14/13/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |