| Regimental number | 3121 |
| Place of birth | Alberton South Australia |
| Religion | Methodist |
| Occupation | Horse driver |
| Address | Commercial Road, Portland Estate Port, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs M C Ward, Commercial Road, Portland Estate Port, Adelaide, South Australia |
| Enlistment date | 18 June 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 14 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 17 December 1918 |
