| Regimental number | 6374 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Dairy hand |
| Address | Vic Park, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs S Owens, Thompson Road, West Guildford, Western Australia |
| Enlistment date | 23 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A46 Clan Macgillivray on 18 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 23 July 1918 |
