| Regimental number | 6856 |
| Place of birth | Gundagai New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Flower Hill, Gundagai, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Mr O Seymour, Flower Hill, Gundagai, New South Wales |
| Enlistment date | 5 October 1916 |
| Date of enlistment from Nominal Roll | 21 September 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 10 January 1918 |
