| Regimental number | 12266 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Chauffeur |
| Address | Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs F Warren, 492 Lygon Street, Carlton, Victoria |
| Enlistment date | 7 April 1916 |
| Date of enlistment from Nominal Roll | 17 April 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Supply Column 3, Mechanical Transport Reinforcement 1 |
| AWM Embarkation Roll number | 25/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Division Supply Column |
| Fate | Returned to Australia |
