| Regimental number | 6163 |
| Place of birth | Warwick Queensland |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Paddington PO, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs Margaret Elizabeth Warner, Grand Hotel, Warwick, Queensland |
| Enlistment date | 22 July 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 21 July 1917 |
