| Regimental number | 11967 |
| Place of birth | Ararat Victoria |
| Religion | Methodist |
| Occupation | Motor driver |
| Address | 39 Bridport Street, Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, A.A. Withers, same address |
| Enlistment date | 14 February 1916 |
| Date of enlistment from Nominal Roll | 1 May 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Supply Column 3, Army Service Corps 26 |
| AWM Embarkation Roll number | 25/29/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Motor Transport Company |
| Fate | Returned to Australia 13 July 1919 |
