| Regimental number | 13947 |
| Place of birth | St Kilda Victoria |
| Religion | Presbyterian |
| Occupation | Grocer, |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs D Fraser, 9 Farmer Street, St Kilda, Victoria |
| Enlistment date | 17 July 1915 |
| Date of enlistment from Nominal Roll | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 4 June 1919 |