| Regimental number | 17889 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Sanitary inspector |
| Address | Bentleigh, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs R Warner, 'Holmwood', Wheatley Road, Bentleigh, Victoria |
| Enlistment date | 15 February 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 31 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Sanitation Section |
| Fate | Returned to Australia 26 July 1919 |
