| Regimental number | 3491A |
| Religion | Church of England |
| Occupation | Miner |
| Address | Lyonsville Railway Station, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs F Grant, Lyonsville Railway Station, Victoria |
| Enlistment date | 12 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | see other |
