| Regimental number | 55 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | 138 Hereford Street, Forest Lodge, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | J McIver, 147 Campbell Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 20 September 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on 23 September 1914 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 24 September 1918 |
