| Regimental number | 20577 |
| Place of birth | Goodwood South Australia |
| Religion | Baptist |
| Occupation | Clerk |
| Address | Forestville, South Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs R F O Fox, 6 Nairne Terrace, Forestville, South Australia |
| Enlistment date | 17 June 1918 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
