| Regimental number | 3649 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Farm hand |
| Address | Burwood, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Sarah Lucinda Gardiner, 'Richmond', Want Street, Burwood, New South Wales |
| Enlistment date | 9 June 1917 |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/71/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 20 December 1918 |