| Regimental number | 6703 |
| Place of birth | Bombamby New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 158 Brougham Street, Darlinghurst, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs E Ambrose, Hughes Street, Potts Point, Sydney, New South Wales |
| Enlistment date | 18 July 1916 |
| Date of enlistment from Nominal Roll | 18 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | INF4REIN22 |
| Fate | Returned to Australia 18 July 1919 |
