| Regimental number | 9863 |
| Place of birth | Notting Hill England |
| Religion | Church of England |
| Occupation | Station hand |
| Address | 218 Liverpool Street, Darlinghurst, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Edith Florence Doughty, 218 Liverpool Street, Darlinghurst, Sydney, New South Wales |
| Enlistment date | 21 March 1916 |
| Date of enlistment from Nominal Roll | 3 March 1916 |
| Rank on enlistment | Driver |
| Unit name | 9th Field Company Engineers |
| AWM Embarkation Roll number | 14/28/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia 31 October 1917 |
