| Regimental number | 7623 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Miner |
| Address | Renmark, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Mabel Oliver, Maud Street, Glanville, South Australia |
| Enlistment date | 20 April 1917 |
| Rank on enlistment | Sapper |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 24 July 1919 |