| Regimental number | 3717 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Aberdeen Street, Kurri Kurri, New South Wales |
| Marital status | Married |
| Age at embarkation | 48 |
| Next of kin | Wife, Mrs Christiana Robertson, Allesmere House, Stakford, Northampton, England |
| Enlistment date | 17 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Company 4, Headquarters 1 |
| AWM Embarkation Roll number | 16/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |