| Regimental number | 6836 |
| Place of birth | Greensborough Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Menzies, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Miss M Poulter, 187 Glenferrie Road, Malvern, Victoria |
| Enlistment date | 26 October 1916 |
| Date of enlistment from Nominal Roll | 11 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies - Sept 1916 to Feb 1918 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board R.M.S. Omrah on 17 January 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies Details |
| Fate | Returned to Australia 15 January 1919 |