| Regimental number | 6011 |
| Place of birth | North Adelaide South Australia |
| Religion | Presbyterian |
| Occupation | Draughtsman |
| Address | Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Aunt, Mrs E Fowler, 15 Ramsgate Street, Glenelg, South Australia |
| Enlistment date | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 25 January 1919 |
