| Regimental number | 6619 |
| Place of birth | Hartley New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs Grace Dennett, 33 Allan Street, Glebe, Sydney, New South Wales |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Sapper |
| Unit name | 6th Field Company Engineers, 4th Reinforcement |
| AWM Embarkation Roll number | 14/25/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Company Engineers |
| Fate | Returned to Australia 29 May 1919 |
