| Regimental number | 17144 |
| Place of birth | Suffolk England |
| Religion | Church of England |
| Occupation | Pegman |
| Address | Reynella, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs I A Lawn, c/o Mr Evans, Cambridge House, Mitcham Park, South Australia |
| Enlistment date | 8 September 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 1 February 1918 |
