| Regimental number | 3190 |
| Place of birth | Roma Queensland |
| Religion | Church of England |
| Occupation | Mechanical engineer |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs G M Statham, buckland Road, Nundah, Queensland |
| Enlistment date | 11 September 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 7 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 24 August 1916 |
