| Regimental number | 36944 |
| Place of birth | Leeds, England |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Unley, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs D Wormald, 189 Young Street, Unley, South Australia |
| Enlistment date | 19 October 1916 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 10 February 1917 |
| Regimental number from Nominal Roll | 3694 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 7 February 1919 |
