| Regimental number | 17279 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Koongal, North Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs R Hinds, Koongal, North Rockhampton, Queensland |
| Enlistment date | 22 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 17 |
| AWM Embarkation Roll number | 13/31/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 12 May 1919 |
