| Regimental number | 1091 |
| Place of birth | Coalville, Victoria |
| Religion | Baptist |
| Occupation | Fireman |
| Address | Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs M M Druery, McQuarie Street, Wallsend, Newcastle, New South Wales |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | Railway Unit, Section 3 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 24 January 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 21 July 1919 |
