| Regimental number | 16964 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | North Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Olive Maria Carey, 104 Tynte Street, North Adelaide, South Australia |
| Enlistment date | 27 May 1916 |
| Date of enlistment from Nominal Roll | 22 May 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance Reinforcement 1 |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Light Horse Field Ambulance |
| Fate | Returned to Australia 15 January 1919 |
