| Regimental number | 16648 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Mercer |
| Address | Jackson Street, North Harbor, Manly, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Lucy Pearson, Jackson Street, North Harbor, Manly, Sydney, New South Wales |
| Enlistment date | 26 April 1916 |
| Date of enlistment from Nominal Roll | 23 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Field Company Engineers |
| Fate | Returned to Australia 12 December 1918 |
