| Regimental number | 17465 |
| Place of birth | Wilcannia New South Wales |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Blende Street, off Silver Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Susan McKenzie, London Ham Shop, Oxide Street, Broken Hill, New South Wales |
| Enlistment date | 21 September 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 5, Engineer Reinforcements 11 |
| AWM Embarkation Roll number | 22/15/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 12 June 1919 |