| Regimental number | 2071 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Minmi, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mrs Annie Smith, Main Street, Minmi, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan MacGillivray on |