| Regimental number | 4037 |
| Place of birth | Emsworth England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Hatfield Street, Mascot Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Mrs Lavinia Donaldson, Hatfield Street, Mascot, Sydney, New South Wales |
| Enlistment date | 21 March 1917 |
| Date of enlistment from Nominal Roll | 21 March 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 10 January 1918 |
| Miscellaneous details | See 1411 Henry Basil AUSTIN for second period of enlistment. |