| Regimental number | 16291 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Engine driver, jackeroo |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Friend, Mrs Mary Roveen, Henry Street, Penrith, New South Wales |
| Enlistment date | 5 October 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Driver |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Company Engineers |
| Fate | Returned to Australia 16 June 1919 |
