| Regimental number | 7491 |
| Place of birth | York England |
| Religion | Church of England |
| Occupation | Carter |
| Address | Townsville, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs E Bacon, Bundock Street, Townsville, Queensland |
| Enlistment date | 7 May 1917 |
| Rank on enlistment | Sapper |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 31 March 1919 |
