| Regimental number | 17358 |
| Religion | Methodist |
| Occupation | Gasfitter |
| Address | East Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs M Riley, 18 Allan Street, East Brunswick, Victoria |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 4 January 1919 |
