| Regimental number | 9663 |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | Engineer |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Florence Blanche Richards, Beryl Street, Broken Hill, New South Wales |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Corporal |
| Unit name | 11th Field Company Engineers, Headquarters |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Outer Harbour, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 22/--/1919 |
| Miscellaneous details (Nominal Roll) | Date of Fate unclear. |