| Regimental number | 4275 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Baker |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Alice Bird, 51 Burke Street, Kalgoorlie, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | No 6 Tunnelling Company |
| AWM Embarkation Roll number | 16/12/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 116 Date: |