
| Regimental number | 5764 |
| Place of birth | Fitzroy, Victoria |
| Religion | Church of England |
| Occupation | Surveyors assistant |
| Address | Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, G Rees, Oxford Chambers, Bourke Street, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 14/13/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |