| Regimental number | 17111 |
| Place of birth | Isle Of Man England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Canowindra, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Ethel May Victoria Warriner, 178 Paddington Stret, Paddington, Sydney, New South Wales |
| Enlistment date | 3 May 1916 |
| Rank on enlistment | Driver |
| Unit name | Australian Wireless Squadron 1, Reinforcement 7 |
| AWM Embarkation Roll number | 22/16/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 23 December 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Wireless Signal Squadron |
| Fate | Returned to Australia 16 August 1918 |
