| Regimental number | 3678 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Painter |
| Address | Newtown, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Alice Tilley, 118 Dowling Street, Moore Park, 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 |