| Regimental number | 20643 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Mount Lawley, Western Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M C Gaines, 30 Hutt Street, Mount Lawley, Western Australia |
| Enlistment date | 6 September 1917 |
| Date of enlistment from Nominal Roll | 24 July 1915 |
| Rank on enlistment | Sapper |
| Unit name | Light Motor Set Wireless Troop, Reinforcement 1 |
| AWM Embarkation Roll number | 22/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Reinforcements, Light Motor Wireless Section |
| Fate | Returned to Australia 18 August 1918 |
