| Regimental number | 17217 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | 385 Riley Street, Surry Hills, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs C I Bailey, 385 Riley Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 5, Reinforcement 3 |
| AWM Embarkation Roll number | 25/112/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front Commenced return to Australia, 12 May 1919; disembarked, 5 July 1919; discharged, 9 August 1919. Medals: British War Medal, Victory Medal |
| Date of death |