| Regimental number | 17302 |
| Religion | Church of England |
| Occupation | Case maker |
| Address | Brisbane Street, off Ipswich Road, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs L C Edwards, Brisbane Street, off Ipswich Road, Brisbane, Queensland |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 17 |
| AWM Embarkation Roll number | 13/31/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 19 June 1919 |