
| Regimental number | 17061 |
| Place of birth | Mount Gambier South Australia |
| Religion | Presbyterian |
| Occupation | Grocer's assistant |
| Address | Mt Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Margaget Jane Pannell, Mt Gambier, South Australia |
| Previous military service | 22nd Light Horse |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 5, Engineer Reinforcements 10 |
| AWM Embarkation Roll number | 22/15/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Omrah on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Divisional Signal Company |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 76 Date: |