
| Regimental number | 4067 |
| Religion | Church of England |
| Occupation | Platelayer |
| Address | Tamworth, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Elizabeth Ann Campbell, 'St Elmo', Fernhill Street, Canterbury, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |