| Regimental number | 3817 |
| Place of birth | Clunes, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Miss E Black, 434 George Street, Fitzroy, Victoria |
| Enlistment date | 14 February 1916 |
| Date of enlistment from Nominal Roll | 29 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 9 December 1918 |
