| Regimental number | 4912 |
| Religion | Church of England |
| Occupation | Cook |
| Address | Croydon, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs B Winter, 46 Walters Street, Croydon, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Tunnelling Company |
| Fate | Returned to Australia 13 February 1919 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
