| Regimental number | 21201 |
| Place of birth | Kent England |
| Religion | Methodist |
| Occupation | Sawyer |
| Address | South Pine Road, Enoggera, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs H Carey, South Pine Road, Enoggera, Queensland |
| Enlistment date | 10 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 36th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 23 June 1919 |
