| Regimental number | 2652 |
| Place of birth | Fremantle Western Australia |
| Religion | Congregational |
| Address | Bridge Street, South Guildford, Western Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Zoelinda Gaisford, Ridge Street, South Guildford, Western Australia |
| Date of enlistment from Nominal Roll | 19 June 1916 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 10 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 24 July 1919 |
