| Regimental number | 5209 |
| Religion | Baptist |
| Occupation | Miner |
| Address | Maryborough, Queensland |
| Marital status | Widower |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs McMahon, Victoria Avenue, Chatswood, New South Wales |
| Enlistment date | 19 January 1916 |
| Date of enlistment from Nominal Roll | 21 September 1915 |
| Rank on enlistment | Sapper |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | rft 1st Tunnelling Company |
| Fate | Returned to Australia 31 October 1917 |