
| Regimental number | 4801 |
| Place of birth | Whitby England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Sarah Burnett, Melrose, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |