| Regimental number | 22004 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Lithographer |
| Address | 'Alpha', Patrick Street, Penshurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs F.L. Atkins, same address |
| Enlistment date | 1 October 1917 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia 6 July 1919 |