| Regimental number | 10766 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Naremburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs K Ward, 'Ashley', Botany Road, Beaconsfield, New South Wales |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps Dental |
| Fate | Returned to Australia 25 January 1919 |
