| Regimental number | 3563 |
| Place of birth | Geelong Victoria |
| Religion | Methodist |
| Occupation | Pipe fitter |
| Address | North Lyell, Tasmania |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs M H Warren, 'Athenae', 2 Napier Street, Footscray, Victoria |
| Enlistment date | 15 December 1916 |
| Date of enlistment from Nominal Roll | 14 November 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 9 December 1919 |