| Regimental number | 11093 |
| Place of birth | Port Adelaide South Australia |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Broken Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs R.A. Lynch, c/o Mrs W. Carpenter, Coburg Road, Alberton, South Australia |
| Enlistment date | 10 September 1915 |
| Rank on enlistment | Driver |
| Unit name | S.T25.16.3C25 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 9 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 26 September 1917 |