| Regimental number | 5012 |
| Place of birth | Bendigo Victoria |
| Religion | Methodist |
| Occupation | Miner |
| Address | Boulder, Western Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Lily Oates, 29 Oroya Street, Boulder, Western Australia |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Company 6, Reinforcement 1 |
| AWM Embarkation Roll number | 16/12/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A69 Warilda on 1 June 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Electrical, Mechanical Mining & Boring Company |
| Fate | Returned to Australia 1 June 1919 |