| Regimental number | 5735 |
| Place of birth | Treherbert Wales |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Edithburg, South Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Edith Mary Winchcombe, Edithburg, South Australia |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Reinforcement 14 |
| AWM Embarkation Roll number | 14/22/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
