| Regimental number | 36167 |
| Place of birth | South Yarra Victoria |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | 90 Barker Road, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Eliza Negus, 3036 Bergman Street, Sheridanville, Pittsburg, USA |
| Enlistment date | 5 January 1917 |
| Date of enlistment from Nominal Roll | 5 January 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 28 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Discharged 8 November 1919 |
