| Regimental number | 11936 |
| Place of birth | Warracknabeal Victoria |
| Religion | Church of England |
| Occupation | Mechanical engineer |
| Address | 256 Stewart Street, East Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs A, Christina Umbers, 12 Main Street, Coburg, Victoria |
| Enlistment date | 23 February 1916 |
| Date of enlistment from Nominal Roll | 22 March 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Supply Column 3, Army Service Corps 26 |
| AWM Embarkation Roll number | 25/29/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 June 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | aacvr Park |
| Fate | Returned to Australia 31 May 1919 |
