| Regimental number | 1942 |
| Place of birth | Warialda New South Wales |
| Religion | Church of England |
| Occupation | Crown lands ranger |
| Address | Lands Office, Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Ethel Ina Wethered, Kings Holme, New Farm, Brisbane, Queensland |
| Enlistment date | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 19 August 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Field Squadron Engineers |
| Fate | Returned to Australia 26 July 1919 |