| Regimental number | 3594A |
| Place of birth | Lake Leymouth, Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Blackboy Hill, Western Australia |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs E Jackson, 'Kintire', Wurruck via Sale, Victoria |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | see other |
