| Regimental number | 14712 |
| Place of birth | Flinders Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Flinders, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs I Symonds, Flinders, Victoria |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 16 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 24 January 1919 |
