| Regimental number | 3711 |
| Place of birth | Southend On Sea, England |
| Religion | Church of England |
| Occupation | Station labourer |
| Address | Lewisham, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Elizabeth Cove, 'South End', Old Canterbury Road, Lewisham, New South Wales |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 9th 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 |
