| Regimental number | 1409 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Sefton Park, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Edith Harriett Kimble, 3rd Avenue, Sefton Park, Nailsworth, South Australia |
| Enlistment date | 5 January 1917 |
| Rank on enlistment | Fitter |
| Unit name | Railway Unit, Section 4 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Railway Company |
| Fate | Returned to Australia 11 January 1918 |