| Regimental number | 18921 |
| Place of birth | Essex England |
| Religion | Church of England |
| Occupation | Bank messenger |
| Address | Goodwood, South Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs S A Gilham, 22 Nairne Terrace, Goodwood, South Australia |
| Enlistment date | 11 December 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 31 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia 5 March 1919 |