| Regimental number | 21417 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Ryan Street, West End, Brisbane, Queensland |
| Marital status | Widower |
| Age at embarkation | 43 |
| Next of kin | Daughter, Mrs E Gore, Ryan Street, West End, Brisbane, Queensland |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/36A/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 9th Field Artillery Brigade |
| Fate | Returned to Australia 21 July 1917 |
