| Regimental number | 3504 |
| Place of birth | Culworth England |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | c/o Colonel Hobbs, Cottesloe, Western Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Sibyl Jeffs, c/o Colonel Hobbs, Kean Street, Cottesloe, Western Australia |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Artillery Headquarters |
| AWM Embarkation Roll number | 13/10/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A9 Shropshire on 20 October 1914 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | a I F HQ |
| Fate | Returned to Australia 28 September 1919 |
