| Regimental number | 18104 |
| Place of birth | Auckland, New Zealand |
| Religion | Church of England |
| Occupation | Cordial maker |
| Address | Sydney, New South Wales |
| Marital status | Married (Separated) |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Mary Buckworth, Albert Street, Leichhardt, New South Wales |
| Enlistment date | 6 November 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Driver |
| Unit name | Signal Squadron, Cable Section |
| AWM Embarkation Roll number | 22/35/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Signal Squadron |
| Fate | Returned to Australia 5 March 1919 |