| Regimental number | 3197 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | 259 Annandale Street, Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs A. C. Warner, same address |
| Enlistment date | 8 March 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Squadron Engineers |
| Fate | Returned to Australia 16 January 1919 |
