| Regimental number | 1790 |
| Place of birth | Carrieton South Australia |
| Religion | Baptist |
| Occupation | Clerk |
| Address | St Peters, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Minnie Lydia Gardner, 5 West Street, St Peters SA |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 5 April 1919 |
