| Regimental number | 10892 |
| Place of birth | Swindon England |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | 25 New Street, Armadale, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs A M Medlicott, 25 New Street, Armadale, Victoria |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Driver |
| Unit name | 3rd Divisional Train, 22nd Company, Army Service Corps |
| AWM Embarkation Roll number | 25/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Division Train |
| Fate | Returned to Australia 7 February 1919 |
