| Regimental number | 20912 |
| Place of birth | Scone New South Wales |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Jane Elizabeth Cross, 83 North Parade, Auburn, New South Wales |
| Enlistment date | 4 August 1917 |
| Rank on enlistment | Sapper |
| Unit name | October 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Returned to Australia 19 June 1919 |
