| Regimental number | 13072 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | 3 Wattle Grove, Hawthorn, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs S M Bourne, 3 Wattle Grove, Hawthorn, Victoria |
| Enlistment date | 21 December 1916 |
| Rank on enlistment | Driver |
| Unit name | Auxiliary Mechanical Transport Company Reinforcement 1 |
| AWM Embarkation Roll number | 25/113/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Australain Motor Transport Company |
| Fate | Returned to Australia 24 December 1918 |
