| Regimental number | 1474 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Club steward |
| Address | 88 Chaucer Street, St Kilda, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E Warren, 112 Chesterton Road, North Kensington, London, England |
| Enlistment date | 16 May 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 3 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Effective abroad (still overseas) |
