| Regimental number | 6292 |
| Place of birth | Folkestone England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Corner of Jane and Boundary Streets, West End, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Mary Julia Burvill, corner of Jane and Boundary Streets, West End, Queensland |
| Enlistment date | 21 October 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/42/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 15 April 1918 |
