| Regimental number | 4774 |
| Place of birth | Calcutta India |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | 365 Bourke Street, Darlinghurst, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Mrs W Smith, 365 Bourke Street, Darlinghurst, Sydney, New South Wales |
| Enlistment date | 8 October 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
