| Regimental number | 11803 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 25 Seacombe Grove, Glenferrie, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E. Kent, 33 Edgar Street, East Malvern, Victoria |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Supply Column 3, Army Service Corps 26 |
| AWM Embarkation Roll number | 25/29/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st ASP |
| Fate | Returned to Australia 30 January 1918 |
