| Regimental number | 17636 |
| Place of birth | Workington England |
| Religion | Methodist |
| Occupation | Loco. cleaner |
| Address | 24 Chuter Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. Elizabeth Scaife, 24 Chuter Street, North Sydney, New South Wales |
| Enlistment date | 10 July 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 27 |
| AWM Embarkation Roll number | 22/11/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Divisional Signal Company |
| Fate | Returned to Australia 2 January 1919 |
