| Regimental number | 3095 |
| Place of birth | Eastrington England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Teralba, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Ellen Elliott,Myrtle Street, Teralba, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |