| Regimental number | 17491 |
| Place of birth | Northampt England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs I Hancock, Gotch Street, Northcote, Victoria |
| Enlistment date | 12 June 1916 |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board No 2 Hospital Ship Kanowna on 25 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ah SHIP |
| Fate | Returned to Australia 25 February 1918 |
