| Regimental number | 10695 |
| Place of birth | Havant England |
| Religion | Church of England |
| Occupation | Sergeant, R A E |
| Address | No 5 Quarters, Georges Head, Mosman, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Margaret Ansell, No 5 Quarters, Georges Head, Mosman, Sydney, New South Wales |
| Enlistment date | 12 May 1916 |
| Rank on enlistment | Warrant Officer |
| Unit name | Divisional Signal Company 3 |
| AWM Embarkation Roll number | 22/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 25 May 1916 |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Returned to Australia 4 May 1917 |