| Regimental number | 6650 |
| Place of birth | Trehocky Wales |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Euridala, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife |
| Enlistment date | 2 October 1916 |
| Date of enlistment from Nominal Roll | 10 June 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Divisional Tunnelling Company |
| Fate | Effective abroad (still overseas) |
