| Regimental number | 3467A |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Dutton Street, Hawthorn, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs R B Fawke, Dutton Street, Hawthorn, Brisbane, Queensland |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | see other |
