| Regimental number | 18379 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Kalgtoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Miss Anna Nelson, Kiwik, Sweden |
| Enlistment date | 26 October 1916 |
| Rank on enlistment | Driver |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Company Engineers |
| Fate | Returned to Australia 24 December 1918 |
