| Regimental number | 576 |
| Place of birth | Bermondery England |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 197 Hargraves Street, Paddington, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Mary Marie Fewtrell, c/o Mrs Russell, PO, St Georges Road, London |
| Enlistment date | 13 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 20 February 1916 |
| Regimental number from Nominal Roll | 756 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Mining Corps |
| Fate | Returned to Australia 21 April 1918 |