| Regimental number | 6111 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Warehouse manager |
| Address | Thornley Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A Hampton, Thornley Street, Marrickville, New South Wales |
| Enlistment date | 21 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 11 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Moldavia on 2 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 4 May 1917 |
