| Regimental number | 4910 |
| Place of birth | Maidstone England |
| Religion | Church of England |
| Occupation | Railway worker |
| Address | Gunning, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs Mary Hodge, West Malling, Kent, England |
| Enlistment date | 7 January 1916 |
| Date of enlistment from Nominal Roll | 11 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Company 4, Headquarters 1 |
| AWM Embarkation Roll number | 16/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Effective abroad (still overseas) |
