| Regimental number | 3760 |
| Place of birth | Cornwall England |
| Religion | Methodist |
| Occupation | Miner |
| Address | 2278 Dorothea Street, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 47 |
| Next of kin | Sister, Mrs Elizabeth Luke, 2278 Dorothea Street, Kalgoorlie, Western Australia |
| Enlistment date | 30 January 1917 |
| Date of enlistment from Nominal Roll | 29 January 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 26 September 1917 |