| Regimental number | 10904 |
| Place of birth | Chelmer Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Catherine White, Wharf Street, Chelmer, Brisbane, Queensland |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Driver |
| Unit name | 11th Field Company Engineers, Reinforcement 1 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia 10 May 1919 |