| Regimental number | 617 |
| Place of birth | Waverley New South Wales |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | 32 Scott Street, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs J Cornbloom, 7 Council Street, Waverley, New South Wales |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Colour SGT |
| Unit name | 2nd Battalion, F Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A23 Suffolk on 18 October 1914 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 15 March 1917 |
