| Regimental number | 4731 |
| Religion | Congregational |
| Occupation | Draper |
| Address | Unley Park, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Hamlyn, Thornbet Street, Unley, South Australia |
| Previous military service | 74th Infantry |
| Enlistment date | 5 May 1915 |
| Rank on enlistment | Private |
| Unit name | MED26.67.3RSPEC |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 31 October 1915 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
