| Regimental number | 7516 |
| Place of birth | Rockhampton Queensland |
| Religion | Baptist |
| Occupation | Miner |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Mrs L C Bolman, 100 Ballsover Street, Rockhampton, Queensland |
| Enlistment date | 2 June 1917 |
| Rank on enlistment | Sapper |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Company |
| Fate | Returned to Australia 31 January 1918 |