| Regimental number | 4070 |
| Place of birth | Forbes New South Wales |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 7 Holt Street, Surry Hills, Sydney, New South Wales |
| Marital status | Widower |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs Catherine Moen, Lyons Road, Drummoyne, Sydney, New South Wales |
| Enlistment date | 4 February 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
