| Regimental number | 12243 |
| Place of birth | Ballarat, Victoria |
| Religion | Presbyterian |
| Occupation | Grocer |
| Address | 10 Johnson Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Annie Bannister, 10 Johnson Street, Ballarat, Victoria |
| Previous military service | 30th Australian Army Medical Corps |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 23 July 1919 |
