| Regimental number | 4657 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs L E Lloyd, 32 Bath Street, St Kilda, Victoria |
| Enlistment date | 23 December 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 12, Reinforcement 2 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Regimental number from Nominal Roll | 14657 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | a Coys HTMB |
| Fate | Returned to Australia 24 August 1918 |
