| Regimental number | 21394 |
| Place of birth | Colchester England |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Cottesloe, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Marion Kirkman, Victor Road, Brookvale, via Manly, New South Wales |
| Previous military service | RAE |
| Enlistment date | 4 October 1917 |
| Rank on enlistment | CSM (WO Class II) |
| Unit name | Special Draft |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 2 February 1918 |
| Rank from Nominal Roll | Company Sergeant Major |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia 3 September 1919 |
