| Regimental number | 21290 |
| Place of birth | Dingo Queensland |
| Religion | Church of England |
| Occupation | Stock and station agent |
| Address | Dingo, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs I Wafer, Dingo, Queensland |
| Enlistment date | 17 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 36th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 21 June 1919 |
