| Regimental number | 39796 |
| Place of birth | Alberton South Australia |
| Religion | Methodist |
| Occupation | Miller |
| Address | Glanville, Semaphore, South Australia |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs V E Jacqquier, Castle Street, Glanville, Semaphore, South Australia |
| Enlistment date | 4 December 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 35 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Siege Battery |
| Fate | Returned to Australia 22 July 1919 |
