| Regimental number | 10017 |
| Place of birth | Randwick New South Wales |
| Religion | Church of England |
| Occupation | Medical student |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M E Ward, Holdsworthy, Springwood, New South Wales |
| Enlistment date | 4 January 1916 |
| Date of enlistment from Nominal Roll | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 4,Field Ambulance 5, Reinforcement 11 |
| AWM Embarkation Roll number | 26/48/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 13 February 1917 |
