| Regimental number | 61943 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 59 Regent Street, Elsternwick, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs L E Warner, 59 Regent Street, Elsternwick, Victoria |
| Enlistment date | 20 April 1918 |
| Rank on enlistment | Private |
| Unit name | 13th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 3 May 1919 |
