| Regimental number | 5737 |
| Place of birth | Tenterfield New South Wales |
| Religion | Church of England |
| Occupation | Chainman |
| Address | 5 Salisbury Grove, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs G M Owens, 11 Flinders Street, Thornbury, Victoria |
| Enlistment date | 24 February 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Field Ambulance |
| Fate | Returned to Australia 25 August 1917 |
