| Regimental number | 16761 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Hyde Park, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E M Gare, 'Daylesford', 15 Manfield Street, Goodwood Park, South Australia |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 3 September 1919 |
