| Regimental number | 18879 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Cairns, Queensland |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Pearl Daw, c/o Mrs Sumption, 223 King Street, Newtown, New South Wales |
| Enlistment date | 15 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Troop Company Engineers |
| Fate | Returned to Australia 5 July 1919 |