| Regimental number | 3367 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Cottesloe, Western Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs W Booth, 'Mertin Villa', Drummond Street, North Ballarat, Victoria |
| Enlistment date | 9 October 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 8 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 8 January 1919 |
