| Regimental number | 5971 |
| Place of birth | Liverpool New South Wales |
| Religion | Church of England |
| Occupation | Mining engineer |
| Address | East Caulfield, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs C Couldrey, 3 Rosstown Road, East Caulfield, Victoria |
| Enlistment date | 3 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, December 1916 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 21 December 1917 |
