| Regimental number | 15652 |
| Place of birth | Mount Lofty South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Wallaroo, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs C Ward, Reynold Street, Neutral Bay, New South Wales |
| Previous military service | 22nd Signal Troop Army Engineers |
| Enlistment date | 9 February 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A16 Port Melbourne on 23 October 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 20 June 1919 |
