| Regimental number | 3666 |
| Place of birth | Duri England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Second Street, Lampdon, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs. Ema Gardiner, Second Street, Lampdon, Newcastle, New South Wales |
| Enlistment date | 29 May 1917 |
| Date of enlistment from Nominal Roll | 13 March 1917 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |
