| Regimental number | 30 |
| Place of birth | Port Melbourne Victoria |
| Religion | Baptist |
| Occupation | Blacksmith |
| Address | 332 Brunswick Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Annie Elizabeth Cunningham, 332 Brunswick Street, Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 10 |
| AWM Embarkation Roll number | 24/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: |