| Regimental number | 5419 |
| Religion | Presbyterian |
| Occupation | Miner |
| Address | Coombe Street, Collie, Western Australia |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Sarah Shannon, Coombe Street, Collie, Western Australia |
| Enlistment date | 22 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 29 September 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies Details |
| Fate | Returned to Australia 27 July 1917 |