| Regimental number | 3679 |
| Place of birth | Mudgee Victoria |
| Religion | Church of England |
| Occupation | Shearer |
| Address | Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs Iris Bertha Dubedat, 53 Despointe Street, Marrickville, Sydney, New South Wales |
| Enlistment date | 27 November 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
