| Regimental number | 3876 |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | c/o P O Hectorville, Hectorville, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs barbara Wallace Giles, c/o P O Hectorville, Hectorville, South Australia |
| Enlistment date | 22 February 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
