| Regimental number | 1821 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Ithaca Parade, Paddington, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mrs Sara Black, Ithaca Parade, Paddington, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Date of death | |
| Place of burial | Lutwyche Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
