| Regimental number | 3794 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Friend, Mrs Jane Ramgate, Harving Street, Birkenhead, Liverpool, England |
| Enlistment date | 4 December 1916 |
| Date of enlistment from Nominal Roll | 4 December 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 18 July 1919 |
