| Regimental number | 2819 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs A M Old, 127 Franklin Street, Adelaide, South Australia |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps Reinforcements 1 - 3 |
| AWM Embarkation Roll number | 16/7/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 12 March 1918 |
