| Regimental number | 12297 |
| Place of birth | Prahran Victoria |
| Religion | Methodist |
| Occupation | Engine driver |
| Address | 10 Mary Street, Windsor, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs H Furneaux, 1 Eastbourne Street, Windsor, Victoria |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 2 June 1919 |