| Regimental number | 347 |
| Religion | Church of England |
| Occupation | Fettler |
| Address | Devon, England |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | mother,, Mrs Louisa Everett, 86 Union Place, Stone House, Plymouth, England |
| Enlistment date | |
| Rank on enlistment | 2nd Corporal |
| Unit name | Mining Corps 1, Company 1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |