| Regimental number | 2041 |
| Place of birth | Lismore New South Wales |
| Religion | Church of England |
| Occupation | Coal wheeler |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. J. Warner, Gumin, Gulargambone, New South Wales |
| Enlistment date | 16 January 1915 |
| Date of enlistment from Nominal Roll | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Motor Transport Section |
| Fate | Returned to Australia 24 December 1918 |
