| Regimental number | 1967 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | South Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Ann Withers, Wharf Street, South Grafton, New South Wales |
| Previous military service | 12th Infantry |
| Enlistment date | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
