| Regimental number | 3511 |
| Place of birth | Portsmouth England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Casula, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Cousin, Mrs Jane Keene, Newoogent, St James Road, Southsea, Portsmouth, England |
| Enlistment date | 8 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |