| Regimental number | 17156 |
| Place of birth | Thebarton South Australia |
| Religion | Baptist |
| Occupation | Driver |
| Address | Eastwood, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs S Frost, Eastwood Store, Eastwood, South Australia |
| Enlistment date | 30 October 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 23 July 1919 |