| Regimental number | 17411 |
| Date of birth | 22 May 1893 |
| Place of birth | Semaphore, South Australia |
| School | Muirden College, Adelaide, South Australia |
| Religion | Congregational |
| Occupation | Draper |
| Address | Unley Park, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Hamlyn, Thornber Street, Unley Park, South Australia |
| Enlistment date | 4 October 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 10 March 1918 |
| Discharge date | 24 May 1918 |
| Other details | War service: France, Belgium. Contracted illness; invalided to Australia, 11 May 1918; discharged as medically unfit. |
