| Regimental number | 17566 |
| Place of birth | Balmain New South Wales |
| Religion | Congregational |
| Occupation | Analyst's assistant |
| Address | Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Marriner, 'Tarana', Woodland Street, Manly, New South Wales |
| Enlistment date | 1 May 1916 |
| Date of enlistment from Nominal Roll | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 4 July 1919 |
