| Regimental number | 9104 |
| Place of birth | Cooktown Queensland |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Annie Northcott, Charlotte Street, Cooktown, Queensland |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 8th Field Company Engineers, Reinforcement 7 |
| AWM Embarkation Roll number | 14/27/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |