| Regimental number | 14509 |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Friend, Mrs Iva Vera Owen, Sturt PO., South Australia |
| Enlistment date | 18 January 1916 |
| Date of enlistment from Nominal Roll | 18 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on 11 July 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Field Company Engineers |
| Fate | Returned to Australia 10 December 1918 |