| Regimental number | 4120 |
| Place of birth | Manitoba Canada |
| Religion | Presbyterian |
| Occupation | Fireman |
| Address | c/o Mrs C Gladstone, 27 Davis Street, South Yarra, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Uncle, Robert Semple, May Hill Farm, Jandakot, Western Australia |
| Enlistment date | 22 June 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 11 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 12 May 1919 |
