| Regimental number | 21696 |
| Place of birth | Kimberley South Africa |
| Religion | Presbyterian |
| Occupation | Warehouseman |
| Address | North Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W Glover, 516 Rathdown Street, North Carlton, Victoria |
| Previous military service | 15th Australian Army Medical Corps |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |