| Regimental number | 13111 |
| Place of birth | South Yarra Victoria |
| Religion | Church of Christ |
| Occupation | Motor driver |
| Address | 21 Henry Street, Windsor, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs L W Rose, 21 Henry Street, Windsor, Victoria |
| Previous military service | 7th Field Company Army Engineers |
| Enlistment date | 30 October 1916 |
| Rank on enlistment | Driver |
| Unit name | Auxiliary Mechanical Transport Company 1, Section 3 |
| AWM Embarkation Roll number | 25/113/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | no 2 A Division MT Company |
| Fate | Returned to Australia 10 April 1919 |
