| Regimental number | 19369 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Glenelg, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Amy Emma Amelia Richardson, 9 Alma Street, Glenelg, South Australia |
| Enlistment date | 26 June 1917 |
| Rank on enlistment | Shoeing Smith |
| Unit name | Special Draft Reinforcements Signal Service (Egypt) |
| AWM Embarkation Roll number | 22/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
