| Regimental number | 3930 |
| Place of birth | Chester England |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Chinchilla, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, Mrs Annie Fogarty, 262 Boundary Street, Spring Hill, Brisbane, Queensland |
| Enlistment date | 2 February 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 13 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 1 November 1917 |
