| Regimental number | 3509A |
| Place of birth | N/A New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Ross, Tasmania |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Friend, Mrs E Triffett, Zeehan, Tasmania |
| Enlistment date | 12 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies Details |
| Fate | Returned to Australia 12 May 1918 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
