| Regimental number | 27173 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Station manager |
| Address | Kolonga Prairie, NW Railway, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs M A Welman, Burwood and George's River Road, Enfield, Sydney, New South Wales |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Reinforcement 20 |
| AWM Embarkation Roll number | 13/31/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 7 June 1918 |
