| Regimental number | 4509 |
| Place of birth | Lincolnshire England |
| Address | Clarence House, Sutton Street, Sp Bk, Hull, England |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Julia Hammond, Clarence House, Sutton Street, Sp Bk, Hull, England |
| Enlistment date | 1 May 1915 |
| Date of enlistment from Nominal Roll | 30 April 1915 |
| Rank on enlistment | Private |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | nig |
| Fate | Discharged 30 September 1916 |