| Regimental number | 194 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Assistant electrician |
| Address | 297 Egan Street, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E A Hastings, 297 Egan Street, Kalgoorlie, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, C Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Date of death |