| Regimental number | 6173 |
| Place of birth | Pambula New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Ellis Coffee Palace King Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Catherine Woodger, Genoa River, Victoria |
| Enlistment date | 23 May 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 6 September 1919 |