| Regimental number | 17457 |
| Place of birth | Albany Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Annie Millard, 5 Winwood Street, South Melbourne, Victoria |
| Enlistment date | 30 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/13/5 |
| 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 | 5th Divisional Signal Company |
| Fate | Returned to Australia 7 July 1919 |
