| Regimental number | 4786 |
| Place of birth | Liverpool New South Wales |
| Religion | Church of England |
| Occupation | Fettler |
| Address | 33 Charles Street, Petersham, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs V Gardiner, 33 Charles Street, Petersham, New South Wales |
| Enlistment date | 5 January 1916 |
| Date of enlistment from Nominal Roll | 19 December 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 4 June 1919 |