| Regimental number | 7642 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 47 |
| Enlistment date | 26 April 1917 |
| Date of enlistment from Nominal Roll | 5 April 1917 |
| Rank on enlistment | Sapper |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia 31 March 1919 |
