| Regimental number | 17962 |
| Place of birth | Middlesex England |
| Religion | Church of England |
| Occupation | Baker and confectioner |
| Address | Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Emily Elizabeth Chard, 54 Bakers Lane, Ealing, England |
| Enlistment date | 13 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st and 2nd Field Troops |
| AWM Embarkation Roll number | 14/36/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Field Squadron |
| Fate | Discharged 8 October 1919 |
