| Regimental number | 517 |
| Place of birth | Slough England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Iris Cen Mill via Childers, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Elizabeth Owen, Slough, Buckinghamshire, England |
| Enlistment date | 22 June 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 7, Reinforcement 8 |
| AWM Embarkation Roll number | 24/12/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 19 October 1917 |
