| Regimental number | 21853 |
| Place of birth | Wards River New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | 1 St John's Road, Glebe Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E. Relf, Police Station, Wingham, New South Wales |
| Enlistment date | 19 June 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Aft FCE |
| Fate | Returned to Australia 10 April 1919 |
