| Regimental number | 1017 |
| Place of birth | Muswellbrook New South Wales |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Thomas Street, Adamstown, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | T Guy, Thomas Street, Adamstown, New South Wales |
| Enlistment date | 19 October 1914 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Ammunition Sub Park |
| Fate | Returned to Australia 25 June 1917 |
