| Regimental number | 17170 |
| Place of birth | Murrurundi New South Wales |
| Religion | Church of England |
| Occupation | Theatrical employee |
| Address | 105 Commonwealth Street, Surry Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs M A Taylor, 105 Commonwealth Street, Surry Hills, New South Wales |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Reinforcement 6 |
| AWM Embarkation Roll number | 13/33/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 23 June 1919 |
