| Regimental number | 12002 |
| Place of birth | Port Melbourne Victoria |
| Religion | Church of England |
| Occupation | Stevedore |
| Address | 23 Emerald Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E Symons, 23 Emerald Street, South Melbourne, Victoria |
| Enlistment date | 8 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 14 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 12 May 1919 |
