| Regimental number | 17209 |
| Place of birth | Stradbroke Island Qld |
| Religion | Church of England |
| Occupation | Baker |
| Address | Goodna, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Lottie Harward, Dunwich, Queensland |
| Previous military service | 8th Infantry |
| Enlistment date | 19 June 1916 |
| Rank on enlistment | Driver |
| Unit name | February 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Mcgillivray on 10 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia 27 May 1919 |
