| Regimental number | 9688 |
| Place of birth | Kettering England |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Emma Rozella Hack, next Mashman's Pottery, Parramatta Road, Auburn, New South Wales |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 8, Reinforcement 4 |
| AWM Embarkation Roll number | 26/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 24 August 1918 |
