| Regimental number | 3465 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Toowong, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Annie Jane Warner, River Road, Toowong, Queensland |
| Enlistment date | 31 July 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Effective abroad (still overseas) |
