| Regimental number | 4109 |
| Place of birth | Paradise South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Paradise, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs B Reid, Paradise PO, Paradise, South Australia |
| Enlistment date | 29 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 20 May 1919 |
