| Regimental number | 28675 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Timberworker |
| Address | Hollyoake via Pinjarrah, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs H Quiney, Hollyoake via Pinjarrah, Western Australia |
| Enlistment date | 2 March 1916 |
| Rank on enlistment | Driver |
| Unit name | Howitzer Brigade 24, Reinforcement 7 |
| AWM Embarkation Roll number | 13/134/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 9 December 1918 |
