| Regimental number | 17836 |
| Place of birth | Daylesford Victoria |
| Religion | Church of England |
| Occupation | Timber hewer |
| Address | North Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs May Louisa Mossop, Holyoake, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
