| Regimental number | 20962 |
| Place of birth | Sussex England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Drayton, Western Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Anne Margaret Stallard, Drayton, Western Australia |
| Enlistment date | 14 May 1917 |
| Rank on enlistment | Sapper |
| Unit name | October 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Field Company Engineers |
| Fate | Returned to Australia 3 September 1919 |
