
| Regimental number | 6179 |
| Religion | Church of England |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Jane Warne, 29 Bromells Road, Clapham, London, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade 5, 15th Company, Army Service Corps |
| AWM Embarkation Roll number | 25/103/1 |
| Embarkation details | Unit embarked from |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |