| Regimental number | 33627 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Parramatta Road, Homebush, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Amelia Elms, 19 Pleasant Street, Erskineville, New South Wales |
| Enlistment date | 31 January 1917 |
| Date of enlistment from Nominal Roll | 31 January 1917 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 7 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | a M T S |
| Fate | Returned to Australia 6 September 1919 |
