| Regimental number | 19627 |
| Place of birth | Essex England |
| Religion | Church of England |
| Occupation | Waiter |
| Address | 5 Rathdown Street, Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs L Haley, 5 Balmoral Terrace, Newtown, Wellington, New Zealand |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 8, Battery 29 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 11 May 1919 |