| Regimental number | 21849 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Coach trimmer |
| Address | Bank Chambers, Goulburn Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Uncle, Henry Proctor, Hay, New South Wales |
| Enlistment date | 14 November 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Returned to Australia 25 September 1919 |