| Regimental number | 5804 |
| Place of birth | Milton New South Wales |
| Religion | Wesleyan |
| Occupation | Sawmill hand |
| Address | River Street, Ballina, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, D McInnes, Lawrence Road, Casino, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 14/13/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |