
| Regimental number | 13612 |
| Place of birth | Gateshead ENGLAND |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Townsville, Queensland |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs M Georgeson, China Street, Mundingburra, Townsville, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |