| Regimental number | 2213 |
| Place of birth | Wellington England |
| Religion | Church of England |
| Occupation | Selector |
| Address | Care OfKumboa PO, Kumboa via Kingaroy, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs C Warren, Rewe Farm, Thorn Street, Margaret Wellington, Somerset, England |
| Enlistment date | 20 March 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A63 Karoola on 12 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 2 January 1919 |
