| Regimental number | 20547 |
| Place of birth | Kapunda South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Glen Osmond, South Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs A R George, c/o J C Jones, 'Straven', Bay Road, Glen Osmond, South Australia |
| Enlistment date | 6 November 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 9 December 1918 |
