| Regimental number | 3041 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | 94 Darling Street, Balmain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs C Cannon, 9 Malmsberry Terrace, Canning Town, London, England |
| Enlistment date | 13 August 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Discharged 2 May 1919 |
