| Regimental number | 16511 |
| Place of birth | England |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Selina Blount, Little Heath, Astley, Stourport, Worcestershire, Eng. |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Field Company Engineers |
| Fate | Returned to Australia 21 December 1917 |