| Regimental number | 2169 |
| Place of birth | Ipswich Queensland |
| Religion | Wesleyan |
| Occupation | Fireman |
| Address | Love Street, Cessnock, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Lorna Phee, Love Street, Cessnock, New South Wales |
| Enlistment date | 6 March 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan MacGillivray on 3 May 1916 |
