| Regimental number | 17510 |
| Place of birth | Bowen Queensland |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Miss A B Hannah, Merivale Street, South Brisbane, Queensland |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 25 September 1919 |
