| Regimental number | 222 |
| Place of birth | Sorell Tasmania |
| Religion | Church of England |
| Occupation | Hotel assistant |
| Address | c/o Mrs W E Rose, Scottsdale, Tasmania |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs W E Rose, Scottsdale, Tasmania |
| Enlistment date | 23 August 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, C Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 2 November 1914 |
| Regimental number from Nominal Roll | 222A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 4 December 1918 |