| Regimental number | 10868 |
| Place of birth | Mansfield Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Normanby Road, Caulfield, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs M K Innes, 39 High Street, Prahran, Victoria |
| Enlistment date | 5 January 1916 |
| Date of enlistment from Nominal Roll | 13 January 1916 |
| Rank on enlistment | Driver |
| Unit name | 3rd Divisional Train, 22nd Company, Army Service Corps |
| AWM Embarkation Roll number | 25/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Division Train |
| Fate | Returned to Australia 10 March 1918 |
