| Regimental number | 21096 |
| Religion | Church of England |
| Occupation | Saddler |
| Address | Solomon Town, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Rosa Alice Bromilow, C/o Mr George Heniker, Rectory Road, Port Pirie West, South Australia |
| Enlistment date | 4 August 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st to 5th Divisional Signal Companies and Signallers November 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Division Signal Company Details |
| Fate | Returned to Australia 5 July 1919 |
