| Regimental number | 10217 |
| Place of birth | Chelsea England |
| Religion | Church of England |
| Occupation | Driver |
| Address | 12 Alfred Street, North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Mary Elizabeth Bedford, 12 Alfred Street, North Fitzroy, Victoria |
| Enlistment date | 19 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | 10th Field Company Engineers |
| AWM Embarkation Roll number | 14/29/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia 30 April 1919 |
