| Regimental number | 15802 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Draftsman |
| Address | Sabiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Edith Warner, 52 Subiaco Road, Subiaco, Western Australia |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 31 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 13th Field Company Engineers |
| Fate | Returned to Australia 18 October 1917 |