| Regimental number | 6290 |
| Place of birth | Gippsland Victoria |
| Religion | Church of England |
| Occupation | Sleeper hewer |
| Address | Waroona, Western Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Mrs E M Gardiner, 333 Perth Street, Subiaco, Western Australia |
| Enlistment date | 5 March 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Service Corps 16th Company |
| AWM Embarkation Roll number | 25/104/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 22 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Company, Australian Army Service Corps |
| Fate | Returned to Australia 1 July 1919 |