| Regimental number | 9612 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Goombungee, via Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, H Achilles, Goombungee, via Toowoomba, Queensland |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 13 |
| AWM Embarkation Roll number | 13/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 18 January 1919 |
