| Regimental number | 21850 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M Bailey, 54 Hargrave Street, Paddington, New South Wales |
| Enlistment date | 22 May 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic Recalled on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
