| Regimental number | 3904 |
| Place of birth | Adelaide South Australia |
| Religion | Congregational |
| Occupation | Clerk |
| Address | Semaphore, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Fanny Welfare, Military Road South (Sondamere), Semaphore, South Australia |
| Enlistment date | 1 August 1916 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 9th Reinforcement |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A73 Commonwealth on 21 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 1 February 1918 |