| Regimental number | 17684 |
| Place of birth | Williamstown, South Australia |
| Religion | Methodist |
| Occupation | Butcher |
| Address | Mitcham, South Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs A M Carruthers, Mitcham P O, Mitcham, South Australia |
| Enlistment date | 16 November 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 12 March 1918 |
