| Regimental number | 13523 |
| Place of birth | St Albans England |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 18 Forest Road, Double Bay, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Mrs Catherine Mary Cusons Adams, Hill Crest, Church Road, Willoughby, Sydney, New South Wales |
| Enlistment date | 8 October 1916 |
| Rank on enlistment | Driver |
| Unit name | Auxiliary Mechanical Transport Company 2, Section 3 |
| AWM Embarkation Roll number | 25/113/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Motor Transport Company |
| Fate | Returned to Australia 20 July 1919 |
