| Regimental number | 9657 |
| Place of birth | Kapunda South Australia |
| Religion | Methodist |
| Occupation | Engine cleaner |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Aunt, Miss Fannie Hillier, Coghill Street, Kapunda, South Australia |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Driver |
| Unit name | 11th Field Company Engineers, Section 1 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Outer Harbour, Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia 27 April 1919 |
