| Regimental number | 396 |
| Place of birth | Hackmondwyke England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Tarrawanna via Corrimal, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Mary Crowther, Tarrawanna via Corrimal, New South Wales |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Corporal |
| Unit name | 3rd Pioneer Battalion, B Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Returned to Australia 7 June 1918 |