| Regimental number | 15924 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Tickera, South Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs M Bagshaw, Gladstone, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |