| Regimental number | 3065 |
| Religion | Church of England |
| Occupation | Overseer |
| Address | Isis Junction, Isis, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs M Burch, c/o J Smith, Victoria Park, Brisbane, Queensland |
| Enlistment date | 12 September 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 7 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Fate | No details of fate entered on Nominal Roll |
