| Regimental number | 4056 |
| Place of birth | Armidale New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Dalwogan via Miles, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Elizabeth Dann, Dalwogan PO, Dalwogan, Queensland |
| Enlistment date | 3 May 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 11 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 22 August 1919 |
