| Regimental number | 17206 |
| Religion | Church of England |
| Occupation | Carter |
| Address | 84 Marion Street, Enmore, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs H Kapp, 84 Marion Street, Enmore, Sydney, New South Wales |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 5, Reinforcement 3 |
| AWM Embarkation Roll number | 25/93/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia 22 May 1919 |
