| Regimental number | 31848 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Steward |
| Address | Engineer's Depot, Moore Park, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs O Rogers, Lakemba, New South Wales |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 5 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Divisional Artillery Trench Mortar Brigade |
| Fate | Returned to Australia 12 March 1918 |
