| Regimental number | 15149 |
| Place of birth | Glen Forrest Western Australia |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Glen Forest, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs C Flint, Glen Forest, Western Australia |
| Enlistment date | 29 December 1915 |
| Date of enlistment from Nominal Roll | 10 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 10, Reinforcement 3 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 4 July 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 4 June 1919 |
