| Regimental number | 2479A |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Tassie Street, Port Augusta, South Australia |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Friend, Benjamin Keene, North Parade, Port Adelaide, South Australia |
| Enlistment date | 4 May 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 4 |
| AWM Embarkation Roll number | 14/17/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A55 Itria on 14 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |