| Regimental number | 1147 |
| Place of birth | Walthamstow England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Mary Annah Rivers, Guildford Road, Redcliffe, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps, Company 3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Mining Corps |
| Fate | Returned to Australia |