| Regimental number | 11976 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 11 Madden Grove, Burnley, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs V Anning, 11 Madden Grove, Burnley, Victoria |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 14 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 13 December 1918 |
