| Regimental number | 2629 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Signalman |
| Address | 63 Day Street, Leichhardt, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Charlotte Christina Broome, 63 Day Street, Leichhardt, New South Wales |
| Enlistment date | 15 November 1917 |
| Rank on enlistment | Private |
| Unit name | January 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Australian Light Railway Operating Company |
| Fate | Returned to Australia 20 July 1919 |
