| Regimental number | 17243 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Crane driver |
| Address | George Street, Junee, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs L Nash, Harnleigh, Marrickville, Sydney, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 4, Reinforcement 3 |
| AWM Embarkation Roll number | 25/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 2 June 1919 |
