| Regimental number | 1969 |
| Place of birth | Glebe New South Wales |
| Religion | Church of England |
| Occupation | Waiter |
| Address | 50 Derwent Street, Glebe, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Jane Seymour, 50 Derwent Street, Glebe, New South Wales |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 1 April 1919 |
