| Regimental number | 15629 |
| Place of birth | Toowoomba Queensland |
| Religion | Protestant |
| Occupation | Plumber |
| Address | Bricbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Anna Richardson, Lutwyche Street, Wooloowin, Brisbane, Queensland |
| Enlistment date | 1 January 1916 |
| Date of enlistment from Nominal Roll | 4 January 1916 |
| Rank on enlistment | Driver |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 31 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Effective abroad (still overseas) |
