| Regimental number | 17890 |
| Place of birth | Daylesford Victoria |
| Religion | Methodist |
| Occupation | Grocer |
| Address | Daylesford, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs B Warren, Queensberry Street, Daylesford, Victoria |
| Enlistment date | 25 June 1917 |
| Date of enlistment from Nominal Roll | 11 May 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 31 August 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | ac Field Ambulance |
| Fate | Returned to Australia 7 January 1919 |