| Regimental number | 17290 |
| Place of birth | Deniliquin New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | 'Kilmore', Ernest Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Alice Todd, 'Kilmore,' Ernest Street, North Sydney, New South Wales |
| Previous military service | 5th AASC |
| Enlistment date | 30 October 1916 |
| Rank on enlistment | Driver |
| Unit name | February 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Mcgillivray on 10 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Returned to Australia 13 July 1919 |
