| Regimental number | 19065 |
| Place of birth | Salisbury England |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | St Peters, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, R Harris, 38 Yalverton Street, St Peters, New South Wales |
| Enlistment date | 20 June 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 13 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 23 July 1919 |
