| Regimental number | 19215 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Semaphore, South Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Annie Brooks, Company Street, Semaphore, South Australia |
| Enlistment date | 13 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | Special Draft Reinforcements Signal Service (Egypt) |
| AWM Embarkation Roll number | 22/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Signal Troop |
| Fate | Returned to Australia 23 April 1919 |
