| Regimental number | 26989 |
| Place of birth | Alrun, South Australia |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs M Owen, 13 Marlborough Street, Norwood Estate, East Perth, Western Australia |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 10, Reinforcement 5 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 3 September 1919 |
