| Regimental number | 30240 |
| Religion | Church of England |
| Occupation | Loco cleaner |
| Address | 175 Lord Street, Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C Clayton, 175 Lord Street, Newtown, New South Wales |
| Previous military service | 33rd Infantry |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 2, Reinforcement 11 |
| AWM Embarkation Roll number | 25/90/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 12 May 1917 |
