| Regimental number | 17721 |
| Place of birth | Suffolk England |
| Religion | Church of England |
| Occupation | Dairyman |
| Address | 37 Meeks Road, Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, G Card, Lottery, Wangford, Suffolk, England |
| Enlistment date | 14 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 2, Reinforcement 6 |
| AWM Embarkation Roll number | 25/90/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Regimental number from Nominal Roll | 17221 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 29 May 1919 |
