| Regimental number | 25621 |
| Place of birth | Coolamon New South Wales |
| Religion | Presbyterian |
| Occupation | Butcher |
| Address | Hoskin Street, Temora, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Wennerbom, Warren Street, Cootamundra, New South Wales |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 2, Reinforcement 7 |
| AWM Embarkation Roll number | 25/90/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 19 July 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia 26 July 1919 |
