| Regimental number | 1617 |
| Place of birth | Derby England |
| Religion | Church of England |
| Occupation | Fitter and turner |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Miss S Roberts, 6 William Street, Brighton, Victoria |
| Enlistment date | 12 November 1914 |
| Rank on enlistment | Cleaner |
| Unit name | 301st (Mechanical Transport), 8th Company, Army Service Corps (17th Divisional Ammunition Park) |
| AWM Embarkation Roll number | 25/98/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 22 December 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Motor Transport Company |
| Fate | Returned to Australia 23 October 1918 |
