| Regimental number | 4788 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Cooper |
| Address | 47 McArthur Parade, Dulwich Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Emma Burrows, 185 Walmer Parade, Notting Hill, London, England |
| Enlistment date | 13 September 1917 |
| 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 19 December 1917 |