| Regimental number | 7030 |
| Place of birth | Bridgewater Victoria |
| Religion | Church of England |
| Occupation | Engineering |
| Address | 263 Esplanade, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, Miss Elisabeth Johnson, 263 Esplanade, Port Melbourne, Victoria |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | 2nd Field Company Engineers, Reinforcement 16 |
| AWM Embarkation Roll number | 14/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 13th Field Company Engineers |
| Fate | Returned to Australia 13 February 1917 |