| Regimental number | 17923 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Painter |
| Address | East St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs A F Warden, 306 Dandenong Road, East St Kilda, Victoria |
| Enlistment date | 4 May 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 29 December 1918 |
