| Regimental number | 17776 |
| Place of birth | Bolton England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Croxton, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Elizabeth Dewhurst, 42 Sydney Street, Erskineville, New South Wales |
| Enlistment date | 30 September 1916 |
| Rank on enlistment | Sapper |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 13th Field Company Engineers |
| Fate | Effective abroad (still overseas) |
