| Regimental number | 13167 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Bridgetown, Western Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs A Guest, 211 Brunswick Road, East Brunswick, Victoria |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Headquarters Australian Medical Division |
| Fate | Returned to Australia 23 September 1916 |