| Regimental number | 19611 |
| Place of birth | Moonta South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Kadina, South Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs W.G. Hancock, Brucefield, Kadina, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |