| Regimental number | 4209 |
| Place of birth | Port Lincoln South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Alexandraa Avenue, Rose Park, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Cornelia Lurline Skinner, Alexandraa Avenue, Rose Park, South Australia |
| Previous military service | Previously served |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Effective abroad (still overseas) |
