| Regimental number | 216 |
| Place of birth | Fordham, England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Mrs J Sergeant, Carter Street, Fordham, Cambridgeshire, England |
| Enlistment date | 14 September 1914 |
| Place of enlistment | Morphetville, South Australia |
| Rank on enlistment | Sapper |
| Unit name | 2nd Field Company Engineers |
| AWM Embarkation Roll number | 14/21/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on 21 October 1914 |
| Miscellaneous details (Nominal Roll) | non |