| Regimental number | 3628 |
| Place of birth | Truro England |
| Religion | Church of England |
| Occupation | Station hand |
| Address | 78 Victoria Street, Carlton, Victoria |
| Marital status | Widower |
| Age at embarkation | 44 |
| Next of kin | Sister-in-Law, Mrs Emily Whittey, Hudswell, Richmond, Yorkshire, England |
| Enlistment date | 22 November 1916 |
| Date of enlistment from Nominal Roll | 18 November 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 31 August 1918 |
