| Regimental number | 2217 |
| Place of birth | Bournemouth England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Runcorn, South Coast Line, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Rose Viney, Runcorn, 8-Mile Plain near Brisbane, Queensland |
| Enlistment date | 4 September 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Regimental number from Nominal Roll | 2217A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 4 December 1918 |
