| Regimental number | 17077 |
| Place of birth | Bendigo Victoria |
| Religion | Roman Catholic |
| Occupation | Teacher |
| Address | East St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Gaitskell, 19 Cardigan Street, East St Kilda, Victoria |
| Enlistment date | 10 February 1916 |
| Date of enlistment from Nominal Roll | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 21 June 1919 |
