| Regimental number | 17197 |
| Place of birth | Tonbridge England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 4 Margaret Street, Newtown, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs F Brigden, 28 Dixon Street, Newtown, Sydney, New South Wales |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 5, Reinforcement 3 |
| AWM Embarkation Roll number | 25/112/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 18 January 1919 |
