| Regimental number | 13956 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | People's Palace, Pitt Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Friend, Mrs Ida Dixon, 11 Sloan Street, Summer Hill, Sydney, New South Wales |
| Enlistment date | 18 October 1916 |
| Rank on enlistment | Driver |
| Unit name | Auxiliary Mechanical Transport Company 1, Reinforcement 3 |
| AWM Embarkation Roll number | 25/113/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on 17 January 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Mechanical Transport Company |
| Fate | Returned to Australia 9 August 1919 |
