| Regimental number | 13960 |
| Place of birth | Chelsea England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Miss Florence Fitzjohn, c/o Mrs Bailey, 7 Newnham Avenue, Goldinten Road, Bedford, England |
| Enlistment date | 1 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | 12th Field Company Engineers, Reinforcement 2 |
| AWM Embarkation Roll number | 14/31/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia 12 May 1918 |