| Regimental number | 11091 |
| Place of birth | Langhorne Creek South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Brinkley, via Murray Bridge, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E.M. Humphrey, same address |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Driver |
| Unit name | S.T25.16.3C25 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 9 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Company, Australian Army Service Corps |
| Fate | Returned to Australia 12 April 1919 |