| Regimental number | 4398 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Kathleen Palm, 32 Amelia Street, Valley, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |