| Regimental number | 17602 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Woongana Street, Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Cousin, Miss Ivy Seivers, Woongana Street, Bundaberg, Queensland |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Driver |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 13th Field Company Engineers |
| Fate | Returned to Australia 15 June 1919 |
