| Regimental number | 6630 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | General merchant |
| Address | Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Brother, J Seymour c/o Hooper And Harrison, King Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 17th Battalion |
| Promotions |
Temporary 2LT Unit: INF17 Promotion date: |
| Fate | Returned to Australia |