| Regimental number | 22087 |
| Place of birth | Plymouth England |
| Religion | Church of England |
| Occupation | Quarryman |
| Address | 117 Underwood Street, paddington, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs A.M. Jeffery, same address |
| Enlistment date | 15 June 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Engineers Details |
| Fate | Returned to Australia 28 March 1919 |
