| Regimental number | 4109 |
| Place of birth | Redfern New South Wales |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Milroy Avenue, Kensington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Flowers, Woolstanton Milroy Avenue, Kensington, Sydney, New South Wales |
| Enlistment date | 8 August 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 23 May 1917 |
| Date of death | 8 September 1959 |
| Place of burial | Randwick Cemetery |
