| Regimental number | 21293 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 1 Forest Road, Double Bay, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Ivy Jean Walgers, 1 Forest Road, Double Bay, New South Wales |
| Enlistment date | 14 September 1917 |
| Date of enlistment from Nominal Roll | 19 September 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Squadron Engineers, November 1917 Reinforcements |
| AWM Embarkation Roll number | 14/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 1st Field Squadron Engineers |
| Fate | Returned to Australia 3 July 1919 |