| Regimental number | 10005 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 49 Goodhope Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Teresa Whalan, 92 Piper Street, Bathurst, New South Wales |
| Enlistment date | 21 March 1916 |
| Date of enlistment from Nominal Roll | 9 March 1916 |
| Rank on enlistment | Driver |
| Unit name | 9th Field Company Engineers |
| AWM Embarkation Roll number | 14/28/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia 11 May 1919 |