| Regimental number | 5221 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Westonia, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mrs Susan Williams, 81 St James Street, Perth, Western Australia |
| Enlistment date | 26 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Company 6, Reinforcement 1 |
| AWM Embarkation Roll number | 16/12/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A69 Warilda on 1 June 1916 |
| Regimental number from Nominal Roll | 5021 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 27 August 1917 |