| Regimental number | 17304 |
| Place of birth | East Adelaide South Australia |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | Port Darwin, Northern Territory |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, C Carew, Wave Hill Station, Katherine River, Northern Territory |
| Enlistment date | 6 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 17 |
| AWM Embarkation Roll number | 13/31/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Shoeing Smith |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 8 April 1918 |
