| Regimental number | 6482 |
| Place of birth | Radcliffe England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Kenny Street, Cottesloe Beach, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Eleanor Louisa Street, Kenny Street, Cottesloe Beach, Western Australia |
| Enlistment date | 16 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | 4th Field Company Engineers, Reinforcement 4 |
| AWM Embarkation Roll number | 14/23/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Returned to Australia 23 July 1919 |
