| Regimental number | 21 |
| Religion | Church of England |
| Occupation | Cook, Steward |
| Address | Hillside, Sussex Street, West End, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Ethel Graham, 69 Stawell Street, Richmond, Victoria |
| Enlistment date | 20 September 1914 |
| Rank on enlistment | Corporal |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |