| Regimental number | 5628 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Abermain, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Aunt, Mrs J Williams, c/o Old School Hill PO, Abermain, New South Wales |
| Enlistment date | 8 May 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, October 1916, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 1 July 1919 |
