| Regimental number | 611 |
| Place of birth | Toora Victoria |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Toora, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W Warner, Toora, Victoria |
| Enlistment date | 24 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 10 |
| AWM Embarkation Roll number | 24/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on 17 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 27 April 1919 |