| Regimental number | 5669 |
| Place of birth | Kyneton Victoria |
| Religion | Protestant |
| Occupation | Butcher |
| Address | Bourke Street, Kyneton, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Amelia Woolley, Bourke Street, Kyneton, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Driver |
| Unit name | 2nd Field Company Engineers, Reinforcement 14 |
| AWM Embarkation Roll number | 14/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
