| Regimental number | 2695 |
| Place of birth | Towyn England |
| Religion | Methodist |
| Occupation | Driver |
| Address | 330 Bay Street, Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Isabella Blanche Owen, 330 Bay Street, Port Melbourne, Victoria |
| Enlistment date | 11 February 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A10 Karroo on 18 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 15 April 1918 |