| Regimental number | 16966 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Gertrude Lilian Dawe, Kenmure Lodge, St Sidswell Street, Exeter, England |
| Enlistment date | 6 November 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Sapper |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | staff AGBD |
| Fate | Returned to Australia 16 January 1919 |
