| Regimental number | 6201 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 204 Darling Street, Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs Naomi Warren, 204 Darling Street, Balmain, New South Wales |
| Enlistment date | 1 September 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 18 January 1919 |
