| Regimental number | 3806 |
| Place of birth | Hull England |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Yarraville, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs E M Hickman, 44 Winberg Road, Hull, England |
| Enlistment date | 29 January 1916 |
| Date of enlistment from Nominal Roll | 1 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | aemm UNIT |
| Fate | Returned to Australia 16 June 1919 |
