| Regimental number | 17245 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Milk carter |
| Address | Thornley Street, Drummoyne, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Small, 9 Thornley Street, Drummoyne, Sydney, New South Wales |
| Enlistment date | 15 December 1915 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 4, Reinforcement 3 |
| AWM Embarkation Roll number | 25/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia 22 September 1919 |
