| Regimental number | 2636 |
| Religion | Congregational |
| Occupation | Carpenter |
| Address | Broad Street, Rosedale, Croydon Park, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Elizabeth Nuttell, 'Burnley', Broad Street, Rosedale, Croydon Park, New South Wales |
| Enlistment date | 29 April 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
