| Regimental number | 4919 |
| Place of birth | Sodwalls New South Wales |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Sodwalls, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Angelina Shirley, 60 Foucart Street, Rozelle, New South Wales |
| Enlistment date | 1 October 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
