| Regimental number | 21292 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 38 Forbes Street, Darlinghurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Alice Maud Ross, 38 Forbes Street, Darlinghurst, New South Wales |
| Enlistment date | 19 April 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Squadron Engineers, November 1917 Reinforcements |
| AWM Embarkation Roll number | 14/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Field Squadron Engineers |
| Fate | Returned to Australia 16 March 1919 |
