| Regimental number | 7175 |
| Place of birth | Morsfield United States Of America |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Geraldton, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Mary Valk, 59 West Street, North Sydney, New South Wales |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | 4th Field Company Engineers, Reinforcement 5 |
| AWM Embarkation Roll number | 14/23/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on 31 March 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Returned to Australia 21 July 1917 |
