| Regimental number | 17290 |
| Place of birth | Longston England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hillview, via Beaudesert, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Miss M Turnbull, Wilderspool Road, Warrington, Lancashire, England |
| Enlistment date | 28 December 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Reinforcement 17 |
| AWM Embarkation Roll number | 13/31/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia 12 May 1919 |
