| Regimental number | 2196 |
| Place of birth | Portsmouth England |
| Occupation | Miner |
| Address | Post Office, Moree, New South Wales |
| Marital status | Widower |
| Age at embarkation | 45 |
| Next of kin | Charles John Woollett, Cobar, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan MacGillivray on |