| Regimental number | 1041 |
| Place of birth | Wellington, New Zealand |
| Religion | Church of England |
| Occupation | Linotype operator |
| Address | 78 Frith Street, Invercargill, New Zealand |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs R Carew, 78 Frith Street, Invercargill, New Zealand |
| Enlistment date | 16 July 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, A Company |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 15 April 1918 |
