| Regimental number | 28796 |
| Place of birth | Junee New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wantabadgery, Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, G Seymour, Wantabadgery, Wagga Wagga, Sydney, New South Wales |
| Enlistment date | 10 May 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 1 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 14 September 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st DTMB |
| Fate | Returned to Australia 20 June 1919 |
