| Regimental number | 3158 |
| Place of birth | Hawthorn Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 28 Collins Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Teresa K Gardiner, 28 Collins Street, Melbourne, Victoria |
| Enlistment date | 12 February 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Section C |
| AWM Embarkation Roll number | 26/49/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 4 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Aly.H. |
| Fate | Returned to Australia 13 April 1919 |
