| Regimental number | 6116 |
| Place of birth | Leeds England |
| Religion | Congregational |
| Occupation | Driver |
| Address | 3 Forster Place, Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs S H Ward, 3 Forster Place, Geelong, Victoria |
| Enlistment date | 3 April 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 1 April 1919 |
