| Regimental number | 3412 |
| Place of birth | Tamworth New South Wales |
| Religion | Roman Catholic |
| Occupation | Boilermaker's assistant |
| Address | Ipswich, Queensland |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Marion Gertrude Mason, Darling Street, Ipswich, Queensland |
| Enlistment date | 30 August 1916 |
| Date of enlistment from Nominal Roll | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 8 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 27 August 1917 |
