| Regimental number | 3669 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Upholsterer |
| Address | 90 Terrace Street, New Farm, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Elizabeth Osborne, 90 Terrace Street, New Farm, Brisbane, Queensland |
| Enlistment date | 2 November 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 13 July 1919 |
