| Regimental number | 4636 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Fitter |
| Address | 58 Junction Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Elizabeth Rose Savery, 58 Junction Street, North Sydney, New South Wales |
| Enlistment date | 17 January 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
