| Regimental number | 3910 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Miner |
| Address | East Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs O Shailer, East Broken Hill, New South Wales |
| Enlistment date | 2 August 1917 |
| Place of enlistment | Broken Hill, New South Wales |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 1 July 1919 |
