| Regimental number | 25881 |
| Place of birth | Ipswich England |
| Religion | Church of England |
| Occupation | Printer |
| Address | 116 Goderick Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, P Warren, 95 Rectory Road, Ipswich, Suffolk, England |
| Enlistment date | 20 February 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 12, Reinforcement 4 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
