| Regimental number | 28914 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Willow Bend, Trangie, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Miss Florence Samuels, Willow Bend, Trangie, New South Wales |
| Enlistment date | 10 March 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 2 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 21 December 1919 |
