| Regimental number | 1277 |
| Place of birth | Windsor New South Wales |
| Religion | Church of England |
| Occupation | Cleaner |
| Address | Cook Park, Sans Souci, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, T Sheen, Cook Park, Sans Souci, New South Wales |
| Enlistment date | 24 March 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 2 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 19 June 1919 |
