| Regimental number | 9136 |
| Place of birth | Gosford New South Wales |
| Religion | Church of England |
| Occupation | Rail porter |
| Address | 57 Mackenzie Street, Waverley |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Margaret J Cunliffe, 57 Mackenzie Street, Waverley |
| Enlistment date | 24 September 1915 |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 6th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 11 May 1919 |
