| Regimental number | 5134 |
| Religion | No religion |
| Occupation | Motor driver |
| Address | Station Street, Blackheath, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Friend, L Warner, Dalby, Creek Drill Wellington, New South Wales |
| Enlistment date | 24 January 1916 |
| Date of enlistment from Nominal Roll | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 18 October 1917 |