| Regimental number | 21004 |
| Place of birth | Slaop England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Wilson's Plains, Esk, Fassifern Line, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Roderick, Wilson's Plains, Esk, Fassifern Line, Queensland |
| Enlistment date | 20 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 34th Battery |
| AWM Embarkation Roll number | 13/36(a)/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 20 May 1919 |