| Regimental number | 15716 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Mary Ann Bleach, 31 Arthur Street, Ashfield, New South Wales |
| Enlistment date | 20 March 1916 |
| Date of enlistment from Nominal Roll | 8 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 31 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 6th Field Company Engineers |
| Fate | Effective abroad (still overseas) |
