| Regimental number | 3569 |
| Place of birth | York Western Australia |
| Religion | Church of England |
| Occupation | Blacksmith |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs M Screaigh, Burgess Siding via York, Western Australia |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A24 Benalla on 1 November 1915 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Effective abroad (still overseas) |
